Network Services

Grow provider networks, optimize PPO leases and swaps, improve loss ratios, increase in-network use, and lower claims costs.

  • Network Recruitment


    • Grow Directly Contracted Providers
    • Targeted recruitment strategies
    • Strengthen access and adequacy
    • Provider loyalty and savings
    • Improve in-network utilization

  • Network Lease and Swap


    • Network Partnership Strategy and Support
    • Optimize existing leased networks
    • Design and execute network swap strategies
    • Reduce dependency on high-cost leases
    • Align lease and swap partnerships

  • Provider Redirect


    • Increase In-Network Provider Utilization
    • Steer members to in-network providers
    • Improve member provider access
    • Efficient network utilization
    • Strengthen provider participation

  • Provider Fee Schedule


    • Performance Review and Fee Strategy
    • Comprehensive analysis of current fee schedules
    • Benchmarking and utilization patterns
    • Savings opportunities and competitive rates
    • Fee strategies to balance cost and provider relations

  • Contract and Compliance


    • State and Provider Contract Compliance
    • Ensure contracts meet state and regulatory requirements
    • Review provider agreements for compliance and risk management
    • Research and guidance on legislative updates
    • Proactive contract oversight

“I had the opportunity to work with Mark on a highly complex TPA transition project. From the very beginning, Mark was professional, detail-oriented, and fully committed to ensuring the success of the initiative. He set clear priorities, kept all stakeholders aligned, and made sure project deadlines and key deliverables were met. Thanks to his leadership, the transition was completed on time and with minimal disruption. Mark has a unique ability to balance strategic vision with day-to-day execution, giving everyone involved confidence that the project would succeed. I would highly recommend him to any organization looking for a consultant who can guide critical initiatives with precision, reliability, and professionalism.” Assistant Vice President, Client Services - Insurance Carrier