Network Development

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Glenridge Health Care Solution provides payers and providers with a solution to meet market and regulatory demands for optimal provider networks. The solution delivers provider networks that enable organizational and/or product sustainability and growth.

Overview
We will collaborate with your team to understand your deliverable, map out an approach given your timeline, marketplace dynamics etc) and effectively implement ensuring your success. Our experienced staff has Payer and Provider experience making us uniquely qualified to understand the marketplace, bridge the gaps and anticipate your needs.

A comprehensive solution with four key areas of focus:

Speed To Market – Milestones met, providers engaged, and systems loaded. Glenridge surge of teams and technology enables clients to meet aggressive RFP Application requirements.
Cost Efficiency – Data focus and real-time metric reporting enable Network Development teams to assure resourcing continually focused on filling gaps needed to meet adequacy requirements for the milestone goal.
High Performing Networks – Network status visibility and prioritization of providers during development enables competitive negotiations, well priced networks, and ability to monitor actual vs. benchmark targets.
Provider Relations and Branding – Engagement with community providers and facilities establishes client’s value proposition and provider relationships to facilitate market penetration.
Payer Approach
Payers are challenged to doing more with less. We can serve as an extension of your network development team and help you:

  • Expand into new markets
  • Optimize your current provider network
  • Move into value based contracting or a Primary Care Medical Home model
  • Develop and build a new network
  • Comply with regulatory requirements
  • Perform operational activities such as Medicare filings, HSD Table and provider relations support
Provider Approach
Providers are moving into the Payer world. Our experience in working for and with Payers makes us uniquely qualified to help you:

  • Develop and implement a Payer Strategy
  • Build a provider network
  • Optimize a current provider network
  • Move into value based contracting or a Primary Care Medical Home model
  • Comply with regulatory requirements
  • Help you become a Payer