Helping health plans and providers in the development and management of their networks.
Development of Compliant Networks for Medicare Advantage, Special Needs Plans (D-SNP, etc…), Medicaid and Commercial Plans.
Development of Networks for ACO's, PHO's, IPA's or other organizations.
Identify and Cure any provider directory inaccuracies, ensuring compliance with regulatory requirements. (CMS, State Dept. of Health)
Identify and Cure any deficiencies in any provider network in existing service areas.
Operating within the highly regulated insurance industry requires getting the details right in every area.
Whether you need to ensure implementation of mission-critical business operations, re-engineer for cost or performance improvement, audit for quality, compliance or cost, oversee delegated services or implement new regulations, Constantia’s team of industry leaders and hands-on experts provide solutions to assure you can execute on the details.
Constantia’s experienced team offers a flexible approach to our clients with expertise across the United States.