Episode
EP 516 ENCORE: Rethinking Provider Networks - with Scott Smith
- Podcast
- The ShiftShapers Podcast
- Published
- Dec 23, 2025
- Duration seconds
- 1537
- Processing state
not_requested
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Summary
We revisit how PPOs got built on discounts and show why total value beats sticker price. Scott Smith joins us to explain nationally curated high-performance networks that rank providers on effectiveness, appropriateness, and cost, and how that changes renewals, member experience, and fiduciary risk. • why traditional PPO discounts miss total cost of care • how consolidation and narrow networks increase abrasion • claims-based scoring at the provider NPI level • quality metrics that matter: e...