Direct Contracting Services
Power of Negotiation
Flexibility in Choice. Primary PhysicianCare provides plan flexibility through an additional option to our PPO network. This option is a direct contract between an employee and his healthcare provider. Primary PhysicianCare facilitates direct contracts using our network management staff and executive support. We arrange meetings with key providers, negotiate fees, provide legal contracts, and enable auto-adjudication.
A key employer within a community possesses substantial healthcare negotiating power. Primary PhysicianCare, Inc. combines this power with our professional experiences and relationships to establish direct contracts. The result is high-quality, cost-efficient care for our members.
We also provide these additional services to augment direct contract agreements:
- Provider credentialing
- Provider communications
- Plan-document language amendments
- Claims dispute resolution
- Member communications and mailings
- Call center support
- Cost-savings analyses and benchmarking
- Pay-for-performance analysis and reporting.
Healthcare Coalitions
Collective Strength. Healthcare Coalitions, sometimes referred to as alliances or cooperatives, harness the collective strength of multiple self-insured companies in a single region. These companies capitalize on their powers of negotiation to obtain the best pricing for healthcare in their area. Primary PhysicianCare serves several healthcare coalitions in several states. Our role in the coalition is to maintain an integrated delivery system to ensure that the needs of the patients, providers, and members are met. We proactively work to establish excellent communications with our providers through our provider relations department. Additionally, we provide in-network steerage to our plan members via our call center, online directories, and printed directories.
