Network Development
Expand into new markets or enhance existing markets with experienced network development support.
Network Expansion
Large-scale contracting efforts for health plans expanding into a new market or launching a new product in an existing market.
Network Management
Provider relationship management services when additional bandwidth is needed for communication between health plan and provider network.
Provider Contracting
Targeted provider contracting services that may be required but not limited to address network adequacy gaps, re-contracting efforts, and/or health plan clinical initiatives.
Credentialing
Health plan credentialing team assistance with completing provider credentialing packets through provider outreach on behalf of the health plan team.
Addressing seasonality in health plan needs.
Healthcare initiatives and needs shift throughout the year. PayrHealth can supplement your network team for seasons when you need additional help.
Identified challenges to network development.
Expanding into new markets can be costly and time-consuming for your in-house teams. Leverage PayrHealth’s experienced resources to expand your organization into new markets and products.
Network Gap Analysis
Partner to leverage existing or new resources in ensuring network adequacy.
Hiring Experts
Leverage decades of experience working for and supporting health plans at the leadership and provider negotiating level.
Credentialing
Expand credentialing team bandwidth for periods of influx.
Finding Profitable Providers
Partner in network strategy creations to identify the right providers for your network.
Outreach Bandwidth
Scalable teams for cold calling or relationship building.
Speed to Market
Scale team quickly and efficiently for all project sizes.
We commit to a process backed by years of experience in the space.
Our team is uniquely structured to help insurers grow and scale by entering new markets with competitive contracts. We help organizations close more than a contract a day on average with our highly experienced team of contract negotiators.
Analyze the environment
Instead of going into new counties or practice types blindly, use our network of nationwide practices nationwide to identify where your plan will be most effective. Our team pinpoints counties and specialties that match your goals for growth so you start off strong.
Target specialties
With experience in all 50 states, our team is well versed in the ever-changing national landscape of specialty providers. We identify a strategic set of providers in each territory that offer competitive contract options while carefully complying with network adequacy criteria.
Negotiate contracts
Expansion of any kind is beneficial, but expanding with competitive rates and contracts is the best way to do it. With access to real-time benchmarks for every territory, we’re able to advocate on your behalf as an informed negotiator. Not only does this mean our experts help seal optimal contracts, it also means you don’t have to spend any time contacting providers, re-contacting them, and finalizing deals.
Meet our network development and management leadership team.
Our leadership has decades of provider engagement experience and has proven results building networks from the ground up. Connect with our team to learn more about our background and team capabilities.
Armando Cardoso
Chief Executive Officer
Pat Apodaca
Chief Strategy & People Officer
PayrHealth has been extremely beneficial to our company. Their team is very responsive and diligent in assisting us with our needs. Their customer service is terrific and I highly recommend them!
Network development resources from industry experts.
Our subject matter experts share what you should be aware of as a health insurer when it comes to understanding the relationship you have between providers and your insurers.
Network contracting the way you need it.
Our team is structured to help insurers grow and scale to your organization’s unique needs. Let us know how we can help improve your organization today.
©2023 PayrHealth. All Rights Reserved.
Contact
2121 Lohmans Crossing Rd
Suite 504-823
Austin, TX 78734
Payment Processing Center
Attention: PayrHealth, LLC
PO Box 2378
San Antonio, TX 78298-2378
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