Provider Network Development
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