Managed Care Consulting & Network Development Services
Contracting, network development, Single Case Agreements, and outsourced managed care support for health plans, provider organizations, and self-funded employers nationwide.
Solutions we execute. Strategy we advise on.
Consulting & Advisory
Single Case Agreement Procurement & Negotiation
Outsourced SCA procurement for access gaps, out-of-network care, balance-bill mitigation, and cost containment — real-time or retrospective.
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Network Development & Provider Recruitment
Identify network gaps, source physicians and providers, conduct outreach, negotiate participation agreements, and support targeted or large-scale network development.
Discuss Your Network Needs
Ancillary Network Development & Contracting
Managed-care contracting and network development for ancillary providers — building participation opportunities and negotiating reimbursement across payers.
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Remote Contracting Support
Outsourced contracting capacity for organizations that need additional resources without adding full-time staff — remote negotiation, documentation, and pipeline support.
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Provider Contracting & Negotiation
Managed care contract review and negotiation for hospitals, health systems, physician groups, ASCs, and ancillary providers — broader coverage that reflects the full Southwest offering.
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Managed Care Help Desk
An outsourced managed care operations desk — contracting support, credentialing help, payer issue resolution, and day-to-day guidance without adding full-time overhead.
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Self-Funded Health Plan Consulting
Objective guidance for self-funded employers and plan sponsors — TPAs, PBMs, networks, vendors, cost-containment strategies, provider access, and reimbursement strategy.
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