Networks

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Improve Network Penetration and Savings with Our PPO and Specialty Network Partners

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StrataCare is able to provide our clients with access to a wide range of leading national and regional PPOs, specialty networks, and specialty review services through direct network agreements.  Additionally, any number of client-specific custom networks can be supported.

Our long standing PPO partnerships and sizable bill volume enables us to work more closely with leading networks to control your access costs, thus optimizing your network savings. StrataWare can accommodate an infinite number of client specific provider relationships to support our clients’ business needs.

PPOs

  • Anthem Blue Cross
  • Beech Street (MultiPlan)
  • CHN
  • CompNet
  • CorVel
  • Coventry
  • Employer’s Choice Network
  • First MCO
  • HealthLink
  • HFN
  • Indiana Health Network
  • Integrated Health Plan (MultiPlan)
  • Interplan (HealthSmart)
  • Networks by Design
  • NovaNet
  • Occunet
  • OHARA
  • Prime Health
  • Procura
  • Rockport
  • Sierra HealthCare Options
  • TLC

Specialty Networks

  • Align
  • Cypress Care
  • MedRisk
  • Next Image
  • One Call Medical Management
    • One Call Equipment + Devices (formerly MSC)
    • One Call Home Health + Complex Care (formerly MSC)

Specialty Review Services

  • CorVel MedCheck
  • FairPay Solutions
  • National Care Network
  • Qmedtrix

PBM

  • Express Scripts

 

Network Optimizer for Evaluation and Enhancement

This patented tool assists in evaluating and optimizing the use of PPO networks. This interactive analysis allows our clients to rapidly see the impact of different network configurations based on their actual experience measured against StrataCare’s comprehensive bill review database.

Key benefits include:

  • Multiple networks can be evaluated quickly and easily
  • Each network is assessed objectively, using the same criteria, to eliminate biases and inconsistencies introduced with network self-analysis.
  • Savings is calculated at the service level for provider, network and jurisdiction.
  • Savings calculations are much more accurate—users can drill down into client-specific data, including savings, penetration and provider utilization rates.


ProviderKey Channeling Support Tool for Employees

We offer ProviderKey™, a powerful custom branded web-based application to assist with employee channeling, provider lookup, and support of custom provider mosaics. This fast and intuitive channeling will increase network penetration, improve UR compliance and support provider direction.

The ProviderKey web site includes a single source for efficient provider search, identification, map generation, work site postings, and directory generation. Through an easy to use web site clients can access their entire customized network with one login, presenting comprehensive directory generation and sorting functionality. With the tools available in ProviderKey, clients can track performance of their combined networks and present a collected representation of this information.

StrataCare’s PPO relationships, analytical tools, and services ensure the greatest possible network penetration. Contact us to learn how we can help you access PPO and specialty networks as part of your cost control measures.

Contact us optimize your network selection and performance.