Contracting and managing specialists can be challenging, but their care plays a crucial role in driving better outcomes and preventing costly hospital and physician care. We develop and manage ancillary and supplemental networks to save both plans and providers time and effort.
We bring benefit management expertise together with advanced technology and provider networks to enhance the healthcare environment and improve health outcomes.
Specialty Networks are becoming narrower and more value-based, but members and regulators require access to providers wherever and whenever care is needed. We create and manage networks to save both plans and providers time and effort.
Inconsistent and inaccurate reporting leads to wasteful spending and potential penalties from CMS
Size is not enough. Even with an extensive network, members can struggle to find care if appointments are not available in a reasonable timeframe
Expansion into new markets (i.e. counties/regions) depends on network adequacy, making it difficult for plans to scale without having the right networks in place
We create and manage provider networks to save both plans and providers time and effort. Networks include:
Our acupuncture network is now a covered benefit for individuals with Chronic Lower Back Pain.
Our chiropractic provider network is our most mature, established in 1981.
Our podiatry solution has operated since 1993, serving communities for over 25 years.
Our therapy network includes Physical, Occupational, Speech and Massage Therapist.
We help Health Plans improve quality measures while containing costs effectively by improving access to care through adequate provider networks, providing NEMT services to get them there, and offering management support through our BPO services. Schedule a call to learn how we can help you reach your quality and performance goals.