Business Details
We bring over five decades of collective managed care experience to provide expert assistance and guidance in medical cost containment. Our organization began operations in November 1993, and we have since grown our provider base to over 400,000 directly contracted physicians, 2,700 hospitals, and 47,000 ancillary providers. We specialize in provider network management, ensuring our members have access to the highest quality healthcare professionals available today. To maintain this standard, we subject every provider to thorough screening, credentialing, and re-credentialing processes. We also utilize random quality assurance and service questionnaires to spot check for potential problems before they happen. We believe that medical cost containment requires a custom approach suited to the individual needs of each client, rather than a universal method. Unlike companies relying on rental agreements, we provide direct access to providers in the required service areas.
As a privately held company, we are not owned by insurance companies, third-party administrators, or hospitals. This independence allows us to offer exceptional service with unsurpassed flexibility, customer support, and professionalism. We adhere to the highest standards of professional ethics and integrity, ensuring we do the right thing simply because it is right. Our commitment to these principles is critical to maintaining trust with our providers, clients, members, employees, and partners. We aim to establish and maintain meaningful, successful, and long-term relationships with everyone we serve. We consider our work with members, providers, and clients to be a true partnership. We provide monthly management reports detailing valuable information to help manage medical costs effectively.
As a privately held company, we are not owned by insurance companies, third-party administrators, or hospitals. This independence allows us to offer exceptional service with unsurpassed flexibility, customer support, and professionalism. We adhere to the highest standards of professional ethics and integrity, ensuring we do the right thing simply because it is right. Our commitment to these principles is critical to maintaining trust with our providers, clients, members, employees, and partners. We aim to establish and maintain meaningful, successful, and long-term relationships with everyone we serve. We consider our work with members, providers, and clients to be a true partnership. We provide monthly management reports detailing valuable information to help manage medical costs effectively.
Highlights and features
- We bring over five decades of collective experience.
- We provide access to directly contracted providers.
- We offer customized medical cost containment solutions.
- We maintain URAC accreditation standards for providers.
- We deliver monthly management reports for cost tracking.
Services
Provider Network Management
We build and maintain a high quality network for our clients. Our providers undergo thorough screening and credentialing processes. This ensures members access reliable healthcare professionals.
Medical Cost Containment
We offer custom strategies to manage medical expenses effectively. Our team provides expert guidance tailored to individual client needs. This helps companies control costs without compromising care quality.
Fee-for-Service Negotiations
We negotiate fees directly with healthcare providers on behalf of clients. This service secures competitive savings for medical procedures. Clients benefit from reduced financial liabilities and transparent arrangements.
Monitoring and Tracking
We monitor and track healthcare utilization for our clients. Our system identifies potential issues before they escalate. This proactive approach ensures continuous oversight and cost management.
Customized Contracting
We recruit and contract providers based on specific client needs. Our team targets geographic access demands to build tailored networks. This customized strategy directly addresses unique organizational requirements.
