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Building & Curing Your
Provider Network
Helping health plans and providers in the development
and management of their networks
We focus on the most essential functions of your plan while mitigating risk of future audits.
From Ideas To Execution
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.
How We Can Help
Compliant Networks
Development of Compliant Networks for Medicare Advantage, Special Needs Plans (D-SNP, etc…), Medicaid and Commercial Plans.
Network Development
Development of Networks for an ACO, PHO, IPA or other organization.
Regulatory Compliance
Identify and Cure any provider directory inaccuracies, ensuring compliance with regulatory requirements. (CMS, State Dept. of Health)
At Risk Assessment
Identify and Cure any deficiencies in any provider network in existing service areas.)
Constantia believes in making value-based care a priority and to deliver better care for all patients.
