We provide Network Contracting services for individual employers, coalitions and consortiums, and health care plan sponsors across the country.
· Health care provider quality, cost and service evaluation
· Plan sponsor claim data and utilization analysis
· Provider RFP development and solicitation of proposals
· Proposal evaluation and provider engagement
· Strategic plan development and recommendations
· Provider contracting and network development
We provide ongoing management services to ensure the quality and effectiveness of your network program.
· Provider database and on-line directory development and management
· Claims administration manual development and maintenance
· New provider solicitation and contracting
· Network performance monitoring and reporting
· Network provider performance profiling
· Member service and support
· Provider relations
Our Data Warehouse capabilities enable a whole suite of services, ranging from integration of Medical and Prescription Drug Data to Group Billing, provider profitability and risk and care gap Analysis.
We integrate all of your health care data into useful, actionable information to give you the power to make better informed decisions.
SQL Database Management
Effective health care benefits management requires an effective decision support system to help easily access and understand data. Our Information Technology Enabled Service Package (ITES) gives you access to the power and flexibility of a dynamic database solution.
· Integrate data from multiple disparate sources
· Evaluate cost drivers and trends
· Examine claims data on an ongoing basis
· Engage stakeholders in the management of population health
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