Solutions << Product Lines << IPA - TPA Provider Network Services IPA - TPA Provider Network Services MED3OOO supports in excess of 4,000 managed care providers that are at financial risk for delivering care to coordinated healthcare to over 200,000 Commercial, Medicare, and Medicaid members throughout the country. Our managed care network operations support IPA, medical group, TPA, HMO, and Provider Sponsored Networks (PSN) in the management of various capitation arrangements including PCP, specialty, facility, global, risk pools, and pay-for-performance incentives.
At the core of our knowledge is an experienced staff of healthcare executives, including physicians and nurses, information system executives, practice management and managed care professionals, human resources, finance, actuarial, and accounting executives. This integrated team brings day-to-day operational experience and an extraordinary command of technology to each client’s situation. Our professionals strive every day to deliver improvement with a difference; improvement that produces measurable and quantifiable results.
At the core of the MED3000 Network Services operations is the TriZetto’s Facets version 4.41 relational database platform. Facets provides a broad range of application services to our clients integrating both managed care and financial management administration.
Our services include:
- IPA Management Services
- Enrollment and Eligibility
- Encounter Data Management
- Referrals and Authorizations
- Claims Adjudication and Payment
- Finance and Financial Statements
- Payer contracting
- Provider Network Management
- Capitation Management
- Cost and Performance Analysis
- Utilization Management
- Case and Disease Management
- Operational Assessment and Consulting
- Customer Service
- TPA - Third Party Adminstrator Services
- Population Health Management
- Predictive Modeling
MED3OOO supports a number of managed care payor arrangements including Commercial, Medicare, Medicaid, Self-Insured, and other government programs.
For more information, contact Beverly Ricci, VP of Network Services Business Development at (310) 980-0671 or Beverly_Ricci@MED3000.com
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