Processes

Develop and maintain network strategy and plan

How develop and maintain network strategy and plan are reshaped as AGI capability advances.

ProcessesDevelop and maintain network strategy and plan
Develop and maintain network strategy and plan — illustrated

Business-as-Code

Read as an executable program — the work decomposed into Code, Generative, Agentic, and Human.

Develop and maintain network strategy and plan sits inside a larger value-flow — 1 parent structure it composes into. The hierarchy is grounding, not the story: it tells you which aggregate exposure Develop and maintain network strategy and plan inherits.

Where Develop and maintain network strategy and plan sits

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How the work flows

Trigger: An annual strategic planning cycle, a shift in member demographics, or a change in regulatory network adequacy requirements initiates the strategy development.

  1. Analyze member demographics and projected healthcare utilization
  2. Assess current provider network adequacy against regulatory standards
  3. Identify gaps in geographic coverage, medical specialties, and facility types
  4. Evaluate competitor networks and local market dynamics
  5. Define specific targets for new provider recruitment and existing provider retention
  6. Allocate budget and resources for network expansion initiatives
  7. Finalize and distribute the network strategy to contracting and credentialing teams

Outcome: An actionable network development plan is finalized, detailing specific targets for provider recruitment, geographic expansion, and specialty coverage.

Measured by

Network Adequacy RatioStrategy Development Cycle TimePercentage Of Coverage Gaps AddressedGeographic Coverage Score