Having a provider network that performs well is critical to your success. Establishing a higher performing network is a tough challenge in the ever changing healthcare industry. Providers and health plans have many regulations, requirements and guidelines to constantly learn, follow and maintain for the different programs they participate in. Quality, along with value based care and patient outcomes, provider information accuracy and network adequacy are top priorities from a regulatory and member satisfaction perspective.
Do you have the right network to perform well in achieving your goals?
ACG’s multi-dimensional team can assist payers and providers to develop, implement and maintain high quality cost-effective provider networks to differentiate themselves in the rapidly evolving healthcare environment. Strategic alignment of highest performing plans and providers is crucial. ACG can help you develop and expand these partnerships, which will position you for success today and into the future.
Contract Review & Compliance
Our experienced team will review your contract language and reimbursement provisions to identify areas of operational, financial and compliance improvement and share best practices
Value based contracting is critical to long term success. We work with you to assess performance of existing contracts and potential future arrangements across various network indicators. We’ll create and implement strategies to maximize performance of your overall network
Access & Availability Audits & Analysis
We perform analysis of your network to verify that providers meet access and availability standards, identify concerns and develop strategies for remediation
Provider Satisfaction Surveys
ACG will perform your provider satisfaction surveys and analyze results to identify opportunities for improvement
Mock Compliance Audits
ACGs team will conduct mock audits across key areas of network and operational functions to prepare for formal audits by regulatory and compliance entities. We’ll recognize areas of strengths while recommending and helping you implement strategies for improvement
RFP Writing/Outcome Review/Implementation
Our staff works with you to define provider network strategies and create responses for RFPs to demonstrate compliance. We’ll help you assess the outcome and prepare for Readiness Reviews and implementing the requirements