Medical Provider Contracting

Provider Network Development & Evaluation

Some employers or provider organizations are interested in developing specialty networks or financing arrangements based on today’s contemporary approach to hospital and physician reimbursement strategies.

We often provide insight and ideas for implementing some of the following payment mechanisms:

  • Accountable Care Organizations (ACOs)
  • Pay for Value (also known as Pay for Performance or “P4P”)
  • Specialty networks
  • Exclusive Provider Organizations (EPOs)
  • Referenced-based pricing
  • Narrow networks
  • Other innovative provider solutions