NETWORK

MANAGEMENT

AND

ADMINISTRATION

Our aim is simple:  Ensure our Clients Control and Reduce costs, while providing their Members access to high-quality care.

One Team Health provides our Clients with:

  • Exclusive access to Industry-Leading PPO and HMO networks

  • Customized Network Development Services

  • A Dedicated Team of Network Managers, Specialists and Physicians that continually assess the quality of the medical facilities we work with.

Thus, helping our Clients design innovative service delivery methods to improve quality service and ensure cost effectiveness.

ACCESS TO
INDUSTRY-LEADING
PPOs AND HMOs

With over 15 years experience working in the US Medical System, One Team Health's Clients gain exclusive access to:

  • Transplant specialty networks

  • Cancer specialty networks

  • An extensive network of direct contract providers

  • Regional and Local PPO networks within the US

  • First-class access to the largest HMOs

  • Industry-leading discounts with medical providers

  • Straightforward claims processes for providers out of network

CUSTOMIZED

NETWORK

DEVELOPMENT

We understand each Client's demographics and utilization requirements are as unique as their customers.  Our Network Managers and Specialists help our Clients:

  • Negotiate, develop and design cost effective contracts including language and pricing methodologies.

  • Ensure policies and procedures to oversee contract performance and compliance are operating as required.

  • Recruit new providers in geographic areas

  • Develop, contract, maintain and enhance relationships with providers.

  • Anticipate ongoing network needs by analyzing demographic trends, community priorities, capacity, and utilization data.

  • Plan strategies for recruitment, selection and retention of qualified Network Providers.

DEDICATED TEAM OF
NETWORK MANAGERS, SPECIALIST AND PHYSICIANS

Not only do we provide our Clients with a dedicated team of Network Managers, Specialists and Physicians that continually assess the quality of the medical facilities we work with.  We also:

  • Assign Network Specialists to Clients that assist with constructing tailor-made networks molded to each Client's demographic and utilization needs

  • Dedicate Network Managers that  regularly assess and track network utilization to help optimize network coverage.

  • We provide this support to our Clients to help them focus on identifying opportunities to lock-in savings, so they can continually enhance their overall performance.

  • Ensure direct settlement of medical costs with providers in the networks we access

© 2020 by ONE TEAM HEALTH, INC.

  • OTH LinkedIn