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.
Outsourced SCA Capacity
Provider Single Case Agreements (SCAs) are one-time agreements between a health plan, payor, or third-party administrator and a healthcare provider — typically negotiated when access issues, out-of-network care, or balance-bill risk require a one-off solution.
Southwest Medical Consultants provides outsourced SCA procurement and negotiation capacity focused on restoring access, mitigating balance-bill exposure, managing out-of-network episodes, and containing cost.
Capabilities
We support the full SCA lifecycle, including:
- Real-time SCA negotiation for urgent access needs
- Retrospective negotiation and cleanup
- Out-of-network and access-gap coverage
- Balance-bill mitigation support
- Rate and contract negotiation within client parameters
- Provider outreach and documentation
- Reporting and operational support
- Cost-containment opportunities
Why Outsource SCAs to Southwest?
SCA volume can quickly overwhelm internal network, contracting, and member-service teams. Southwest Medical Consultants provides experienced, scalable support without the cost and delay of adding permanent staff.
Our team works directly with providers and facilities to resolve access issues, negotiate appropriate reimbursement, reduce balance-bill exposure, and move cases toward resolution.
Need Additional SCA or Network Development Capacity?
Southwest Medical Consultants can provide dedicated staffing on a full-time, fractional, or project basis for network development and SCA negotiation — opening the door to larger engagements than individual agreements alone.
Flexible Engagement Models
Cost models can be flexed to meet client requirements and may involve per-agreement, percentage of savings, or time-and-materials methodologies.