Your Advantages as a Provider Partners Health Plans Provider
As an HMO I-SNP, Provider Partners Health Plans contracts with a network of high-quality healthcare providers in selected Illinois, Indiana, Maryland, Missouri, North Carolina, Pennsylvania, and Texas counties. Provider Partners offers participating providers the following advantages:
- Be part of a highly motivated, patient-centered team that cares about providing high-quality care to our patients and that values keeping patients healthy through advanced electronic health record systems, shared protocols, care plans and care management.
- Reimbursement based on Medicare
- Work with local, hands-on leadership that understands the challenges and rewards of being a provider because we are providers ourselves.
Advantages For Hospitals
Provider Partners Health Plans provides a host of advantages to its hospital partners, including:
- Shorter lengths of stay
- Reduction of potentially avoidable utilization for PQI diagnoses
- Lower 30-day readmission rates
- Communication from a local provider clinical team to keep you informed and provide coordinated care to patients
- Prompt and accurate claims payment
Advantages For Physicians
Provider Partners Health Plans offers many advantages for participating physicians, including:
- A source of additional patients
- A local provider clinical team that provides case management and care coordination in consultation with you
- A provider-friendly pre-authorization process in which the long-term care facility obtains authorizations
- Better quality of care and health outcomes for patients as measured by HEDIS scores and hospital use rates
Are you interested in joining our Provider Network?
Page Last Updated: 7/3/2024