Forward to: Provider Relations

Provider Network Analysis
Workflows

Ten agent workflows for the Provider Relations team — automated hospital system monitoring, physician practice intelligence, referral network mapping, provider quality assessment, health system expansion tracking, specialty center identification, staffing level analysis, technology adoption monitoring, patient experience signals, and network adequacy evaluation — providing comprehensive domain-level provider network intelligence.

1Hospital System Expansion Monitoring

AI agent tracks hospital system growth by monitoring acquisition announcements, new facility pages, service line expansions, and leadership changes across health system domains to identify network development opportunities.

1
Scan Health System Websites for Growth Signals
/press /about /careers /contact Countries OpenPageRank
HEALTH SYSTEM EXPANSION SCAN — Q1 2026 ════════════════════════════════════════════════════════════ SYSTEMS MONITORED: 412 health system domains EXPANSION EVENTS: 34 detected in last 30 days commonspirit.org /press: Acquisition of 3-hospital system in Texas announced /about: Network now 142 hospitals — updated from 139 /careers: 478 new roles posted in Texas market /contact: 3 new facility addresses added PageRank: 6.8/10 ascension.org /press: Divesting 3 rural hospitals in midwest /about: Service area reduced — 2 states removed /careers: Rural nursing positions removed from listings SIGNAL: Network contraction — rural market exit
2
Assess Network Impact
System Signal
CommonSpirit Texas Expansion — 3-hospital acquisition adds 850 beds and 2,400 physicians to network. /careers surge (478 roles) indicates aggressive integration timeline. New /contact addresses confirm facility locations in Dallas, Houston, and San Antonio markets. Partnership engagement recommended.
EXPANSION — Engage within 60 days of integration start
Market Signal
Ascension Rural Exit — Divestiture of 3 rural hospitals creates network gap. If these facilities serve our patient population, alternative network arrangements needed. /careers removal confirms operational wind-down in progress.
NETWORK GAP — Rural access at risk in 3 markets
3
Generate Network Development Report

Provider Network Intelligence — Q1 2026

NETWORK CHANGES SUMMARY ──────────────────────────────────────── Systems monitored: 412 | Expansions: 22 | Contractions: 8 | Mergers: 4 Net bed change: +4,200 beds | Net physician change: +8,900 PRIORITY ACTIONS 1. Engage CommonSpirit Texas — 850 beds, partnership window open 2. Address Ascension rural gaps — identify replacement facilities 3. Monitor HCA 4-hospital construction pipeline — 2027 openings 4. Track Kaiser Permanente mid-Atlantic expansion for Q3 engagement 5. Evaluate 4 merger targets for combined contracting opportunities

2Physician Practice Intelligence

AI agent monitors physician practice, medical group, and specialty clinic websites to track practice growth, specialization changes, technology adoption, and provider quality indicators for network development.

1
Profile Physician Practice Networks
/about /products /leadership /careers Personas Countries
PHYSICIAN PRACTICE NETWORK ANALYSIS ════════════════════════════════════════════════════════════ PRACTICE DOMAINS MONITORED: 3,240 FOCUS: Multi-specialty groups, specialty practices usoncology.com /about: 1,500+ physicians across 500+ sites of care /products: Full-spectrum oncology services including clinical trials /leadership: New CEO appointed — expansion strategy announced /careers: 89 physician recruiter roles — aggressive growth agilon.com /about: Value-based care platform — 4.2M patients /products: Total cost of care model for primary care groups /investors: Revenue growth slowing — 12% vs 34% prior year /partners: 28 physician group partnerships across 12 states
2
Detect Practice Consolidation Trends
Market Trend
Physician Practice Consolidation — Domain monitoring reveals 23% of independent practice websites now feature partnership or acquisition announcement pages. PE-backed platforms (US Oncology, One Oncology, ION) showing fastest domain growth. Independent practice domain count declining 8% YoY.
CONSOLIDATING — Independent practice landscape shrinking rapidly

3Referral Network Mapping

AI agent maps referral relationships between primary care, specialist, and hospital domains by analyzing partner pages, service directories, and cross-referencing patient flow indicators across provider websites.

1
Map Provider Referral Connections
/partners /products /about /contact Personas
REFERRAL NETWORK MAP — SOUTHEAST REGION ════════════════════════════════════════════════════════════ PRIMARY CARE HUB: Emory Healthcare emoryhealthcare.org /partners: References to 14 specialty group partners /products: Specialty referral portal listed on service page Referral connections detected: → piedmontheart.com (cardiology, 34 physicians) → gaonc.com (oncology, 28 physicians) → emoryortho.com (orthopedics, 22 physicians) REFERRAL VOLUME INDICATORS: Cross-site /contact references: 247 detected Shared /events pages: 12 joint CME programs Network density score: 8.4/10 — highly connected
2
Identify Referral Gaps
Network Gap
Mental Health Referral Gap — Emory Healthcare /partners page lists 14 specialty groups but no behavioral health or psychiatry practice. /products service directory shows "coming soon" for outpatient behavioral health. This represents a network adequacy gap requiring immediate fill.
GAP DETECTED — No behavioral health referral partner in network

4Provider Quality Assessment

AI agent evaluates provider quality signals by monitoring hospital accreditation pages, quality reporting dashboards, patient satisfaction indicators, and clinical outcome data published across provider websites.

1
Scan Provider Quality Indicators
/compliance /about /press /security OpenPageRank
PROVIDER QUALITY SCAN — NETWORK FACILITIES ════════════════════════════════════════════════════════════ clevelandclinic.org /compliance: Joint Commission Gold Seal — renewed 2025 /about: US News #2 hospital ranking — highlighted /press: Zero HAI events in cardiac surgery — 24 months /security: HITRUST CSF certified — patient data protection QUALITY SCORE: 96/100 regional-hospital.org /compliance: CMS Star Rating dropped from 4 to 3 stars /about: Accreditation status not displayed (previously shown) /press: No quality metrics published in 6 months /careers: Chief Quality Officer position posted — vacancy signal QUALITY SCORE: 54/100 — MONITORING REQUIRED
2
Generate Quality Trend Report
Quality Signal Changes — Regional Hospital
2025-08-01 /compliance page removed Joint Commission seal display
2025-10-15 /press stopped publishing quarterly quality reports
2025-12-01 CMS Star Rating drop to 3 stars reflected on /about
2026-01-20 CQO vacancy posted on /careers — leadership gap
2026-02-12 /about page removed accreditation status entirely

5Specialty Center Identification

AI agent identifies emerging specialty centers of excellence by monitoring provider websites for new service line launches, subspecialty recruitment, technology investments, and accreditation achievements in targeted clinical areas.

1
Detect New Specialty Programs
/products /press /careers /events IAB Categories
SPECIALTY CENTER DETECTION — EMERGING PROGRAMS ════════════════════════════════════════════════════════════ NEW CENTERS OF EXCELLENCE DETECTED: northwell.edu /products: New robotic surgery center of excellence launched /press: $120M investment in surgical robotics facility /careers: 12 robotic surgery fellowship positions posted /events: Grand opening ceremony scheduled — April 2026 uabmedicine.org /products: Gene therapy center established — first in Southeast /press: NIH P30 center grant awarded /careers: 8 gene therapy specialist positions posted /partners: Pharma collaboration for gene therapy trials listed
2
Assess Program Viability
Center Signal
UAB Gene Therapy Center — NIH grant + pharma partnerships + 8 specialist hires signals serious commitment. First gene therapy center in Southeast creates regional monopoly for referrals. /partners page showing pharma collaboration indicates trial-ready infrastructure. High-priority for network inclusion.
HIGH VALUE — First-mover in underserved Southeast region

6Staffing & Workforce Intelligence

AI agent monitors healthcare provider career pages and staffing agency websites to track workforce trends, staffing shortages, compensation benchmarks, and recruitment patterns that impact provider network stability.

1
Analyze Provider Workforce Signals
/careers /press /about Personas Countries
HEALTHCARE WORKFORCE INTELLIGENCE — NATIONAL ════════════════════════════════════════════════════════════ PROVIDER DOMAINS SCANNED: 3,240 TOTAL OPEN POSITIONS: 847,000+ CRITICAL SHORTAGE AREAS: Nursing: +34% open positions vs. Q1 2025 Primary Care Physicians: +22% vacancies across rural domains Behavioral Health: +45% — fastest growing shortage Pharmacy: +12% — moderate but increasing STAFFING AGENCY GROWTH: amn-healthcare.com /products: Travel nursing revenue +28% YoY /press: Record demand for locum tenens physicians /careers: Recruiting 340 additional recruiters
2
Assess Network Stability Risk
Workforce Signal
Behavioral Health Staffing Crisis — 45% increase in behavioral health vacancies across monitored provider domains. Rural markets most affected — 67% of rural hospital /careers pages show behavioral health vacancies. Network adequacy at risk in 12 markets. Telehealth behavioral health may serve as stopgap solution.
CRITICAL — Behavioral health staffing gap threatening network adequacy

7Technology Adoption Monitoring

AI agent tracks healthcare technology adoption across provider networks by monitoring EHR vendor partnerships, AI deployment announcements, telehealth platform launches, and digital health integration signals on provider websites.

1
Scan Provider Technology Pages
/products /partners /press /blog IAB Categories
PROVIDER TECHNOLOGY ADOPTION SCAN ════════════════════════════════════════════════════════════ AI DEPLOYMENT SIGNALS: mayoclinic.org /press: AI-powered clinical decision support deployed across 14 facilities /partners: Google Health partnership for ambient clinical documentation /blog: CIO commentary on responsible AI deployment framework kaiser.org /products: AI-powered triage for 12M members launched /press: $200M investment in digital health infrastructure /partners: Epic + Microsoft AI integration announced ADOPTION RATES (from /products page analysis): AI clinical decision support: 34% of monitored systems Ambient documentation: 12% — early adoption phase Predictive analytics: 45% — fastest growing category
2
Identify Technology Leaders & Laggards

Provider Technology Adoption Report

TECHNOLOGY ADOPTION TIERS ──────────────────────────────────────── Leaders (top 15%): Mayo Clinic, Kaiser, Cleveland Clinic, Mass General AI + predictive analytics + digital health integrated Middle (60%): Regional health systems with EHR optimization focus Basic analytics, emerging telehealth, limited AI Laggards (25%): Small/rural facilities with legacy systems Paper-based workflows, no AI, limited telehealth IMPLICATIONS FOR PROVIDER NETWORK 1. Partner with leaders for innovation pilots and data sharing 2. Support middle tier with technology adoption resources 3. Address laggard gap — technology disparity impacts care quality

8Patient Experience Intelligence

AI agent monitors provider websites for patient experience signals including appointment access pages, patient portal features, communication channels, and service accessibility indicators across the provider network.

1
Analyze Patient Access Signals
/login /contact /support /products Personas
PATIENT EXPERIENCE ANALYSIS — NETWORK PROVIDERS ════════════════════════════════════════════════════════════ geisinger.org /login: Patient portal with online scheduling, messaging, results /contact: 24/7 nurse line, chat, video visit scheduling /support: Multi-language support — 8 languages offered /products: Same-day appointments available for 78% of services PATIENT ACCESS SCORE: 91/100 community-clinic.org /login: No patient portal detected /contact: Phone only — no online scheduling or messaging /support: English only — limited accessibility /products: Service listing basic — no appointment availability shown PATIENT ACCESS SCORE: 38/100
2
Benchmark Patient Experience
Experience Benchmark
Digital Access Gap — 34% of network providers lack patient portal /login pages. 45% offer phone-only /contact options. Only 22% provide multi-language /support. Digital access disparity correlates with HCAHPS scores — providers with full digital access score 12% higher in patient satisfaction.
GAP — Digital access disparity across network

9Value-Based Care Readiness

AI agent assesses provider readiness for value-based care arrangements by monitoring quality reporting pages, care management program descriptions, population health platform deployments, and risk-sharing contract signals.

1
Evaluate VBC Readiness Signals
/products /about /partners /compliance IAB Categories
VALUE-BASED CARE READINESS ASSESSMENT ════════════════════════════════════════════════════════════ intermountain.org /products: Population health management platform deployed /about: 80% of revenue from value-based contracts /partners: ACO partnerships with 4 major payers /compliance: HEDIS quality measures published — all above 90th percentile VBC READINESS: 95/100 — Mature value-based organization rural-health-network.org /products: Fee-for-service only — no VBC programs listed /about: No population health or quality metrics mentioned /partners: No payer partnership pages /compliance: Basic CMS compliance only VBC READINESS: 22/100 — Not prepared for risk-based contracts
2
Generate VBC Network Strategy

Value-Based Care Network Report

VBC READINESS DISTRIBUTION ──────────────────────────────────────── Providers assessed: 412 | VBC-ready (>70): 124 (30%) Developing (40-70): 178 (43%) | Not ready (<40): 110 (27%) NETWORK STRATEGY 1. Prioritize VBC contracts with top 124 ready providers 2. Develop support programs for 178 developing providers 3. Evaluate 110 not-ready providers for network retention 4. Target 50% VBC revenue by 2028 (currently 34%) 5. Deploy shared analytics platform for developing tier

10Network Adequacy Evaluation

AI agent continuously evaluates network adequacy by monitoring provider locations, specialty coverage, appointment availability, and geographic access indicators across provider domains to ensure regulatory compliance and patient access standards.

1
Assess Geographic Coverage
/contact /products /about Countries Personas
NETWORK ADEQUACY ASSESSMENT — STATE COMPLIANCE ════════════════════════════════════════════════════════════ NETWORK PROVIDERS: 8,400 across 14 states SPECIALTY CATEGORIES: 42 ADEQUACY STATUS BY SPECIALTY: Primary Care: ADEQUATE — 98% of counties covered Cardiology: ADEQUATE — 94% of counties covered Oncology: MARGINAL — 87% coverage, 6 county gaps Behavioral Health: INADEQUATE — 71% coverage, 22 county gaps Pediatric Specialty: MARGINAL — 82% coverage, 11 county gaps Endocrinology: INADEQUATE — 68% coverage, 28 county gaps REGULATORY RISK: 2 specialties below state adequacy thresholds
2
Identify Coverage Solutions
Adequacy Signal
Behavioral Health Gap — 22 Counties — Domain monitoring identified 14 telehealth behavioral health providers with /products pages showing nationwide coverage. 8 of these accept our network insurance based on /partners page analysis. Telehealth solution could close 18 of 22 county gaps within 30 days.
SOLUTION — Telehealth behavioral health fills 82% of gaps
3
Generate Adequacy Compliance Report

Network Adequacy Report — Q1 2026

COMPLIANCE STATUS ──────────────────────────────────────── Specialties evaluated: 42 | Adequate: 34 | Marginal: 4 | Inadequate: 4 Counties served: 847 | Fully covered: 712 | Gaps: 135 Regulatory compliance: At risk in 2 states for 2 specialties REMEDIATION PLAN 1. Contract 8 telehealth behavioral health providers — closes 18 county gaps 2. Recruit 4 endocrinology groups in gap counties — 60-day timeline 3. Expand pediatric specialty telemedicine — covers 8 of 11 gaps 4. File state adequacy waiver for 4 remaining rural counties 5. Quarterly re-assessment with domain monitoring automation
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