For health plans, MA entrants, IPAs & risk-bearing organizations · Est. 2002
Standupaprovidernetwork —and an operating cadence to run it.
A missed go-live date doesn't just slip the calendar — it delays revenue, triggers regulatory risk, and burns internal credibility. We run the build end to end, with operators who have been on both sides of the table.
Fixed fee · No commitment past the diagnostic · Two weeks to a build plan.
- PCP adequacy met in 14 counties
- Cardiology contracted (Maricopa, Pinal)
- Behavioral health — 2 counties pending
Organizations we've served
Twenty-plus years. Recognized names.
A selection of organizations Kearny Street Management has served since 2002.
Why network builds stall
Most builds don't fail on strategy. They fail on the connective tissue.
If you've hit one of these walls, it's not a strategy failure — it's a sequencing and ownership problem. We've seen it repeat on every build for twenty years.
Build slows in week six
Strategy decks land cleanly, then contracting hits a wall. By the time outreach restarts, your launch date has slipped — and the CMS application window may have gone with it.
Adequacy is a moving target
CMS specialty thresholds, state rules, time-and-distance — what passed last review fails the next. A gap discovered at submission means restarting the adequacy clock, not patching it.
The handoffs leak
Contracting, credentialing, configuration, and provider data ops sit in four systems and three teams. Nothing escalates until it's already a crisis.
From the field
What these builds actually look like.
Representative engagements from 22 years of network builds.
Six weeks behind at handoff. On-time at go-live.
A regional Medicare Advantage plan inherited a network build mid-stream — the prior contractor had delivered a strategy deck and a provider list, but no signed contracts, no credentialing pipeline, and a go-live date six weeks out. We ran the diagnostic in week one, renegotiated the submission timeline with the state DOI for a 30-day extension, and stood up contracting outreach across three states simultaneously. The plan submitted with adequacy met in all required counties.
First network build. No internal infrastructure.
A risk-bearing IPA entering its first direct-contract employer arrangement had no contracting templates, no credentialing committee, and no provider data ops in place. We built the infrastructure from scratch — contract templates, NCQA-aligned credentialing workflow, provider data governance, and a weekly operating cadence — and recruited 240 providers across a 12-county footprint. The IPA activated on time, and the internal team ran the cadence independently within 90 days of go-live.
What we do
One firm, end-to-end. No handoffs to chase.
Strategy, contracting, credentialing, and operating discipline in one engagement. We staff the build or augment your team, and stay accountable to the dates we put in writing.
Network strategy & adequacy
Footprint design, CMS / state adequacy modeling, gap analysis, and a target list ranked by impact.
See what's in scopeProvider contracting
Outreach, term negotiation, fee-schedule design, and signed paper at scale — without burning your provider relations team.
View contracting deliverablesCredentialing & CAQH
Primary source verification, NCQA-compliant files, CAQH ProView maintenance, and a credentialing committee cadence that doesn't bottleneck go-live.
View credentialing deliverablesOperating cadence
Provider data management, directory accuracy, network management dashboards, and a weekly operating rhythm leadership can actually run from.
See the operating modelHow we work
No surprises. Named owners. Dates in writing.
Same playbook since 2002.
Diagnose
Footprint, adequacy gaps, contracting backlog, credentialing inventory, data quality. You finish with a build plan — named owners, named dates.
Design
Target provider list, fee-schedule strategy, contract templates, credentialing workflow, network management cadence.
Build
Provider outreach, contract execution, credentialing, system configuration, and directory submissions. We run the day-to-day or augment your team — your call.
Operate
Weekly cadence, monthly business review, adequacy monitoring, and a hand-back plan so this doesn't depend on us forever.
Engagement targets
What we shape engagements around.
Illustrative targets, not guarantees. Real numbers depend on footprint, line of business, and starting state — calibrated during the diagnostic.
Have a network to stand up?
A build that misses the CMS application window doesn't slip a quarter — it slips a year. Two-week diagnostic, fixed fee, no commitment past it. You walk out with a build plan worth running — named owners, real dates, no gaps.