Because OB/GYN’s are primary care physicians, and there are so few Board Certified Reproductive Endocrinologists (“RE”), no single network could include enough OB/GYN’s and RE’s to meet all members’ needs. Therefore, WIN is an inclusionary model. WIN uses a payor’s existing obstetric, gynecologic and RE providers as a foundation and supplement these as necessary. This structure maximizes patient choice and access and avoids alienating providers who would not be included in a closed, exclusionary arrangement.

WIN evaluates existing OB/GYN and RE networks. The goal of this evaluation is to credential and profile the existing network so that WIN may better refer patients within the OB/GYN and RE specialty. Network development is based on quality and not geo-access. All Obstetricians and Reproductive Endocrinologists do not have the same skill sets within the specialty. Also, there are clearly delineated subspecialties including maternal-fetal-medicine that play a critical role in the delivery of care. WIN’s goal is to match a specific patient’s needs to the most appropriate provider. By sending a patient to the most qualified physician first, our referrals are designed to minimize second opinions and triage care at the most appropriate level.  

In areas where existing networks are deficient or in instances in which WIN’s market experience reveals quality physicians who would be an asset to the network, WIN would work to expand the network. Because WIN is able to attract premier, nationally known obstetricians and reproductive endocrinologists, physicians are generally extremely receptive to WIN. In some cases WIN has succeeded in substantially expanding existing networks after assuming controlled of network development. WIN’s flexible care management model works with both existing and new providers. Physicians will recognize WIN’s network as inclusionary and not exclusionary. This is one of the guiding principals in WIN’s network development.