Services

 

Network Builds

We have worked with a number of Medicaid, Medicare Advantage, Healthcare Exchange, Dental, Vision, and TPAs to get networks built around the US. Over the years we have simplified our process to outreach providers and improve the engagement levels. We can maximize contacts, credentialing collection and rates for new markets that your company is expanding into.

 

Quality Management

Millions of dollars are left on the table every year due to poor quality performances. The patients and members have not been given the care they need and the insurers and providers don’t get to celebrate with bonuses. It starts with communication to the patients and ends with improving member’s health. They will thank you for the difference you made while you are rewarded financially by the state and federal government.

Credentialing

Here to help make sure your providers are loaded so visits are being paid on time. We can do delegated credentialing, CAQH credentialing, and Medical Review Panels. If you’re a TPA with a large employer, make sure your providers are the most qualified in the area. If you’re an IPA we currently do delegated with a few partners in multiple states. Being efficient is what our past performance has shown for our clients.

 

Cost Savings

Every year corporations and health plans are seeing their premiums and medical cost rise. We work with a number of companies that reduce risk through managing employees and members to reduce sick days, ER admissions and unnecessary procedures. There are rapid developments in this category, are you up to date on the new resources available? CHG has over 20 years focused on VBR.

Healthcare Technology

Since the Affordable Care Act was signed in 2010, this category of healthcare has been in overdrive. With smart phones, fiber-optic internet, and virtual doctors, we are more connected than ever. In 2010, we would never have imagined how many primary care visits would be done via the phone instead of in the office. These new technologies can reduce healthcare costs leading and premiums.

 

Networking

Connecting industry professionals is what we do. We are all in healthcare together with the common goal of reducing expenses and improving health outcomes. If you have a new product that can make an impact, we would like to hear from you. If you are looking for a solution, we can help. With over 100 years of experience, our group has been exposed to almost every sector of healthcare. We want to help your business grow.