NETWORK EXPANSION
FEATURES
Network Management: physician and ancillary provider contracting, contract negotiation, contract management & analysis, compensation strategies (cap, zero based budgeting, etc.), network management and maintenance, interaction with client leadership, physician and ancillary provider communications and education, resolution of grievances, maximizing encounter data, maximizing Risk Adjustment Factor and Hierarchal Condition Coding, HEDIS scores, star ratings
We support the day to day operations of the physician network. Services include regular interaction with physicians and their office staff as well as interaction with client leadership and client health plans.
Southern California
MSO staff has helped form over 30 IPAs and in the process has contracted and credentialed over 200 primary care physicians and over 2,500 specialists and ancillary providers. MSO has also expanded managed IPAs to many counties in California (Los Angeles, Orange, Riverside, San Bernardino, San Diego, Fresno, Imperial, San Francisco, Santa Clara, San Benito, etc.). MSO was also integral in forming and managing 5 IPAs which started up MD Care Health Plan which was the fastest growing Medicare Advantage Health Plan in Southern California between 2007 and 2012 and was sold to Humana in 2012.
And Beyond
MSO also helped incorporate and develop an IPA with 3,200 members, 17 primary care physicians and 500 specialists in Houston and the surrounding counties. In addition, MSO is in the process of developing an IPA for personal injury in the state of California and Arizona which includes law firms, providers, and surgical centers throughout the states of Texas and Arizona.