ipa developmentThe Kearny Street Consulting team has developed Independent Physician Associations for physician groups and healthcare organizations for more than 12 years. We focus on Medicare and Medicaid plans and contract with IPA providers to offer a greater opportunity to receive incentive payment for quality service and financial improvement. We also offer the back room operations to perform credentialing, provider loading and communications between Plans and Provider. We have recently formed an IPA for Behavioral Health network to participate in a incentive based contract for Medicaid.
outsourced managed care contractingAs the complexities of contracts and reimbursement increase by the payors, Kearny Street Consulting has experienced contracting teams to review current contracts and provide improvements. Physician groups have retained our services to negotiate contracts for existing and new services. We’ve been retained by small and medium size hospitals managed care departments for work with existing business office staff and to assist in contract review and revenue improvements for the organization.
provider network developmentFor the past 12 years, Kearny Street Consulting has developed networks including hospitals, physicians and ancillary providers. Our team has contracted in over 15 states and for all lines of business including Commercial, Medicare and Medicaid, ACO’s and Health Cooperatives. We have assisted in strategy, contract development and communication documents. We believe the best approach is to be on the ground at the location and provide additional support with recruiters on phones.
community health center assistanceKearny Street Consulting has extensive knowledge and experience working with Community Health Centers. Our experience had provided an appreciation of the dedication of these not for profit organizations. Our focus for the centers is to improve revenue opportunities such as enrollment of providers in insurance programs, obtaining and updating licensing obligations, improving and problem solving billing areas. We understand the PPS rate calculations for Medicaid and Medicare. We have formed IPA’s and ACO’s for state associations and have assisted in the operations and quality improvement. Innovative 340B pharmacies programs have been introduced to our clients that have benefited their patients and have the managed care organizations referring patients to them. Our mission is to increase their revenue so they may do more for their Communities.