Network of Excellence
Building and managing effective provider networks is a foundation for managing cost and value, along with enhancing member engagement and satisfaction.Health systems that join the MA health plan networks created by Constantia are achieving fewer re-admissions compared to an unmanaged population.
Constantia's Provider Network Management team supports all provider related activities for plans and provider entities (health systems, ACOs, IPAs, etc.)
Constantia's experienced team offers a flexible approach to our clients with expertise across the United States.
Provider Network Development:
We support clients with local, regional, and multi-state initiatives specializing in these product types:- Medicare Advantage (MA)
- Medicaid
- Veterans Administration - MCO's
- Long Term Services & Supports (LTSS)
- Home & Community Based Services (HCBS)
- 1115 Waiver & Behavioral Health Management
- Commercial Insurance & Exchange
In addition we’ve supported network development and management for provider systems and entities, ACOs and IPAs seeking to contract with payers or for government contracts.
Value-Based Payment Innovation / Population Health:
Our team supports clients with overall provider network reimbursement and value-based contracting strategies.One size does not fit all. We work with health plans to identify the best approach to partnering with different provider types, including ACOs, health systems, IPAs and groups, based on market / provider dynamics.
We also offer clients guidance and support related to implementation of new payment and value based contract models.