Provider Network Development


Strength in numbers is a proven adage when negotiating managed care contracts

Strategic Health Care is working with both acute and post acute care organizations in communities throughout the U.S. to develop and implement networks that not only use market strength to negotiate contracts, but incorporate a strong quality component to show value in producing health outcomes that improve health and control costs. Negotiating reimbursement contracts based on thousands of lives versus hundreds will garner a better rate of return and provides a platform for data collection and benchmarking of health care outcomes. The Strategic Health Care Network Development team will work with you from concept to network operations.

Our Provider Network Development consulting team will:

Assess Your Market

Assess your market to determine the viability of a network and potential members

Create the Framework

Create the needed infrastructure and framework for your network to consider including operating agreements, by-laws, and dues structure

Handle Filings

Handle all filings with required governmental entities

Recruit Members

Actively participate in recruiting network members through webinars and regional meetings

Develop Processes

Development of dashboards, data collection processes, and analytics

Board & Committee Management

Network board and committee management

Negotiate Plans

Negotiate with managed care plans on the network’s behalf to achieve favorable language and rates

Contract Management

Contract management for members including claims and prior authorizations

Our forte is working with networks to jointly develop an action oriented managed care network to achieve quality outcomes & fair reimbursement.

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