Services

Provider Network Development

QuadPhase is an end-to-end network development solution for your organization. We have developed numerous networks throughout the US for our clients at different stages of their network lifecycle. Our clients include numerous legacy payors, large hospital systems, ACO’s, local payors, and specialty networks. Every client has different needs, so QuadPhase takes a thoughtful and thorough approach to developing a solution to your organization’s needs.

We have a tried and proven process to developing provider networks and specialize in developing high-quality, cost-effective networks for:

Medicare Advantage Plans

Medicare Special Needs Plans (D-SNP/I-SNP/C-SNP)

Managed Medicaid Plans

Commercial Plans

ACO Reach

QuadPhase has been at the forefront of ACO Reach expansion since CMS announced the pivot from Fee for Service reimbursement to expanding Direct Contracting Entities (DCE’s) and ACO Reach organizations. With data and extensive experience, we have helped numerous DCE’s and ACO’s to develop a robust and high-performing Participant and Preferred provider network.

Value-Based Initiatives

QuadPhase leverages multiple data sources and industry experience to design and execute a value-based reimbursement methodology that meets your organizational needs.

Payor Strategy

For our non-payor partners, QuadPhase will work with your provider group to ensure your contracts are consistent with market trends and renegotiate these on your behalf. We currently work with numerous health systems, provider groups, etc. to ensure your organization is achieving preferred contracting terms and rates.

Specialty Networks

For our non-payor partners, QuadPhase will work with your provider group to ensure your contracts are consistent with market trends and renegotiate these on your behalf. We currently work with numerous health systems, provider groups, etc. to ensure your organization is achieving preferred contracting terms and rates.

Cost Savings and Efficiency

At QuadPhase, we work with clients to design, execute, and optimize business processes and tailor-made solutions to ensure the needs of the client are met and exceeded. QuadPhase works with your organization to optimize the process, create quality management protocols, put a plan in place to reduce cost, and ensure all processes and steps along the way are followed and optimized. We analyze current business processes and create customized plans to best fit the needs of the client.

Examples: task management, service contract cost reduction, workforce optimization, and analysis of process performance, goals, and initiatives.