Provider Partnership

www.providerpartnership.com

Provider Partnership Consultants specializes in both Payer and Provider Network Development and Contract Negotiation. We have over 20 years of success in representing clients across the country in contract negotiations for Medicaid, Medicare Advantage, Special Needs Plans, ABD, Long Term Care, and Commercial Health Plans. Consultants at Provider Partnership have extensive knowledge in negotiating contract language and reimbursement rates/structures with Health Care Systems, Primary Care, Specialty Care, IPAs, PHOs, Multi-Specialty physicians groups, Behavioral Health, and Dental. Our Network Development services can be geared to meet your specific needs and are offered ala carte. They include: Initial market research Identify key providers Respond to RFPs on behalf of our Clients Establish provider reimbursement parameters/models Develop provider contract templates Contact and educate providers on your company and products Negotiate contract language and reimbursement with provider Create and manage HSD tables for CMS filing We get in in front of the right Decision Makers so they look forward to our next meeting. With our compelling and engaging questions as well as industry knowledge, they know they are doing business with a differentiated partner. Using our extensive provider network, we are able to match health plan requirements with quality providers and hospitals. We work closely with the insurer to understand their needs and then identify those premiere providers that best match the qualifications.

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Provider Partnership Consultants specializes in both Payer and Provider Network Development and Contract Negotiation. We have over 20 years of success in representing clients across the country in contract negotiations for Medicaid, Medicare Advantage, Special Needs Plans, ABD, Long Term Care, and Commercial Health Plans. Consultants at Provider Partnership have extensive knowledge in negotiating contract language and reimbursement rates/structures with Health Care Systems, Primary Care, Specialty Care, IPAs, PHOs, Multi-Specialty physicians groups, Behavioral Health, and Dental. Our Network Development services can be geared to meet your specific needs and are offered ala carte. They include: Initial market research Identify key providers Respond to RFPs on behalf of our Clients Establish provider reimbursement parameters/models Develop provider contract templates Contact and educate providers on your company and products Negotiate contract language and reimbursement with provider Create and manage HSD tables for CMS filing We get in in front of the right Decision Makers so they look forward to our next meeting. With our compelling and engaging questions as well as industry knowledge, they know they are doing business with a differentiated partner. Using our extensive provider network, we are able to match health plan requirements with quality providers and hospitals. We work closely with the insurer to understand their needs and then identify those premiere providers that best match the qualifications.

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Country

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State

Georgia

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City (Headquarters)

Atlanta

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Employees

1-10

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Founded

2002

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Potential Decision Makers

  • Director , Social Determinants of Health Strategy and Partnerships , Medicaid Managed Care

    Email ****** @****.com
    Phone (***) ****-****
  • Consulting Partner

    Email ****** @****.com
    Phone (***) ****-****

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