Your network is a promise to members.
We make sure you can keep it.
Health plans, IPAs, and risk-bearing organizations bring us in when a provider network has to get built, fixed, or made adequate — usually on a regulatory clock, and usually with no room to miss.
The strategy deck is the easy part. Real builds stall around week six — contracting hits a wall, credentialing runs long, provider data drifts, and the directory stops matching reality. Meanwhile the filing window doesn’t move.
You feel it as a quiet dread: too many moving parts, no single owner, and a deadline that decides whether you enter a market this year or next.
A missed adequacy standard can slip a market by a full year. A thin directory becomes an access complaint. A stalled build becomes a board conversation about credibility.
Networks aren’t a slide deck. They’re signed contracts and verified providers — delivered on time, or not at all.
You don’t need five vendors and a project manager to coordinate them. You need one team that owns the network from strategy through go-live — and then hands it back running independently. That’s the whole of what we do. Two decades doing exactly this, on both the payer and the provider sides, so we can see the deal from both chairs.
Four capabilities, one accountable team.
Most network problems live in the seams between functions. We hold all four, so nothing falls through the handoffs.
We model where members live against CMS and state time-and-distance standards, find the gaps before regulators do, and target the specific providers that close them — so you pass adequacy on the first submission, not the third.
Outreach, rate conversations, redlines, and signatures. We move agreements from 'interested' to executed, with clean, defensible language and a rate posture that holds up when the market gets competitive.
Primary-source verification, CAQH hygiene, and committee-ready files that keep the go-live date from slipping. Available bundled with a build — or as a standalone service when credentialing is your only bottleneck.
Directory accuracy, provider-data operations, and a weekly operating cadence that keeps the network adequate after launch — then a documented hand-back so your team runs it without us.
Credentialing without the full build. Already have the contracts but drowning in verification? We run credentialing as a standalone engagement — the same committee-ready rigor, scoped to just the bottleneck.
A simple plan, executed on a cadence.
We listen to the opportunity, map a plan, and execute it — with named owners, real dates, and a weekly cadence you can see.
A two-week read of your network, your gaps, and the honest path to adequacy — before anyone signs a long engagement.
Contracting and credentialing executed in parallel against a live tracker, so the critical path never goes dark.
Go-live, a documented operating cadence, and a clean transfer so your team runs the network confidently.
An independent orthopedic ASC needed a national payer relationship and an implant-purchasing arrangement to make a total-joints line viable. We led the strategy, the contracting, and the operational stand-up — and the line went live on schedule, adequate and payable from day one.
“They made a complex build feel simple — and handed it back running.” — Kearny Street Management engagement
- On-time market launches — no last-minute scramble
- Adequacy met at first submission
- Clean, defensible contracts and credentialing files
- A network your team can run without us
Two weeks to a clear read on your network and the path to adequacy — with no long commitment to find out.