Additional Opportunities for Health Plans
  • Further reduce the health plan's medical expense ratio: enter into a full or partial DME capitated arrangement where applicable.
  • Reduce network gaps and expand recruiting efforts: identify States outside of the existing health plan service area and let IntegraPartners do the legwork.
  • Reducing out-of-network utilization costs: outsource to IntegraPartners the recruitment of high cost, out-of-network providers and let IntegraPartners conduct single case negotiations and/or recruit providers
  • Identify trends in utilization and cost: Turn to IntegraPartners as a single source provider and take advantage of reporting functionalities