Network Selection Criteria
Select Care Network
The Select Care Network includes a full range of primary care physicians and specialists. It is designed based on specific criteria that are applied to select participating primary care physicians and specialists. For primary care physicians we include only those who meet the minimum standards for clinical quality measures. While our network has many outstanding professionals, the Select Care Network highlights AdvantageCare Physicians (ACPNY), with high-quality outcomes on a number of Healthcare Effectiveness Data and Information Set (HEDIS) measures including diabetes care, colorectal screening and breast cancer screening.
In addition to quality measures, EmblemHealth considers the geographic location of the practitioner and the practitioner's willingness to accept the raw structure necessary to meet the financial needs of the program. We consider where our members reside in relation to the locations of the providers when selection practitioners for this network. This ensures our members have access to the number and the types of clinicians needed within a reasonable distance from where they reside.