In addition to Outpatient Therapy and Eye Care, Health Network One operates several single-specialty
full risk networks: Dermatology, Podiatry, Gastroenterology and Urology. For each, we are typically delegated UM, Claims, Credentialing, and Network Management.
The hallmarks of all of our specialty networks are: high provider and member satisfaction, professional services cost savings (Part B) through capitation, significant procedure reductions which result in dramatic and permanent facility cost (Part A) savings.
Our typical impact is a 50-70% reduction in procedures - a good example is a decrease in bilateral procedures. Further, we guide care to ASCs, also resulting in a 50% or more savings. Our inclusive approach also reduces lab leakage, network leakage, and includes POS and pharmacy redirection
Medical cost savings are only a starting point for our team. For each specialty we have devised and implemented programs designed to reduce overall cost of care through prevention and either the inclusion or exclusion of screenings, for example:
We close the loop with PCPs by ensuring coordination of care in each of our specialties back to the primary care physician.
Contact us to learn how we can partner with you to improve clinical and financial performance in one or more of our medical specialties.Contact Us