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"CHC served as an extension to my network development team and was able to successfully complete several projects within a short time period. I recommend CHC for any Network Development activity in the future.”
-- Devin Zak, Executive V.P., Texas True Choice – VIANT
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Turnkey Solutions to Network Development Needs
Managed Care Organization (MCO) network development teams continue to struggle with the need to fulfill immediate provider contracting initiatives. Time sensitive deadlines, limited network development staff, and restricted budgets are typically associated with such initiatives. Complimented with the need for day-to-day network maintenance and provider relation activities, MCO’s often fail to reach the project’s original goals and objectives.
“Network Outsourcing” is the backbone of CHC’s consulting services. Quality relationships, the ability to effectively communicate with the provider community, and a strong understanding of reimbursement methodologies, allow CHC to provide a turnkey solution to immediate provider contracting needs. CHC operates under the Client’s contracting policy and procedures and allow the Client to maintain authority on all contracting assignments. Once the network is established to the Client’s specifications, CHC simply transitions all documents, data, negotiating history, provider contact information, and contracting experience to the network development and provider relation teams.
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Primary or “second chair” role in provider negotiations.
Analytics related to provider network configurations.
Focus exclusively on project management and provide quantified deliverables.
Procurement of credentialing or re-credentialing documents.
Reduced staffing costs.
Avoid the neglect of regular network maintenance and provider relation activities.
Delegate necessary provider relations responsibilities.
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Product Experiences
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Custom Healthcare Consulting’s (CHC) network development experiences span across the full continuum of product lines. These include:
Regional and national commercial health plans
Secondary, out-of-network, plans
Employer direct plans
Workers compensation
Medicare Advantage
Government sponsored plans
Supplemental insurance plans
Managed Medicaid
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