What is an Independent Physician Association? An Independent Physician Association or IPA represents a group of independent providers and medical practices that collectively build relationships with insurance companies, share back-end resources, all while maintaining their independence in an increasingly consolidated healthcare system. IPA’s bring together small private practices and solo providers who otherwise wouldn’t have much of a voice for their communities. By joining an IPA, they can team up to command higher rates and fairer contracts. It’s about strength in numbers and leveling the playing field. Hundreds or even thousands of physicians across multiple specialties might form a regional IPA together. Learn more below!
Strategic Healthcare Partners, LLC
Hospitals and Health Care
Savannah, Georgia 1,026 followers
We are a healthcare consulting firm that's managing managed care.
About us
Who is SHP? We are the first call from the CEO, CFO, or Practice Administrator when supply costs are out of control; managed care contracting is not working for you, or to lead you to the next level of your business. Our clients include hospitals, physician practices, ambulatory surgery centers, and community service boards. SHP works to support all providers with the guidance and management to navigate the business of medicine. In addition to ‘traditional’ providers, we have unique expertise in addressing the needs of rural healthcare providers, who are routinely underserved in access to the services that SHP provides. SHP offers managed care strategic developments, managed care contracting and negotiation, health plan enrollment, financial analysis, business office support, and other support services. SHP serves as an extension of your organization and tailors our services to your individual needs.
- Website
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http://www.shpllc.com
External link for Strategic Healthcare Partners, LLC
- Industry
- Hospitals and Health Care
- Company size
- 11-50 employees
- Headquarters
- Savannah, Georgia
- Type
- Privately Held
- Founded
- 2007
- Specialties
- Independent Physician Associations, Revenue Cycle Support, Managed Care Contracting, Supply Chain, Provider Enrollment, Clinically Integrated Networks, Data Analytics, Community Health Network Development, and ACO Management and Consultation
Locations
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Primary
7505 Waters Ave
Suite F9
Savannah, Georgia 31406, US
Employees at Strategic Healthcare Partners, LLC
Updates
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Revisit: Impact of Value Based Care Trends | With Sean Cavanaugh - Part 1 In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and the new cyber security rules and requirements for healthcare facilities that are being prepared by the Biden administration. Then, we are joined by Sean Cavanaugh, CCO / CPO Aledade. Previously he served as Deputy Administrator and Director of the Center for Medicare @ CMS. In this special 2 part series, you’ll hear his viewpoint related to today’s independent primary care physician, the impact of Value Based Care (VBC), and how Aledade supports their practices for success in their ACO. https://buff.ly/3V66iiq You can find the archive of all previous episodes here: https://buff.ly/3P7Ph6B
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What is Provider Enrollment exactly? Enrolling to become an “in-network provider” allows medical practices to become accessible to a pool of insured patients. As a result, health plans only cover in-network providers at the best rates for its respective members, so doctors must enroll if they want the insured business and respective reimbursement. Learn more below!
What is Provider Enrollment exactly? - SHP
https://shpllc.com
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Revisit: Keys to a Successful CIN With Jason Crosby In this episode, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how to start or join one, the keys to a successful CIN, the potential for legal pitfalls, and how CINs may fit the greater goal of providing value-based care. https://buff.ly/3V66iiq You can find the archive of all previous episodes here: https://buff.ly/3P7Ph6B
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Why is Managed Care Contracting most essential to your revenue stream? Contract language and reimbursement rates are the driving force behind a payer’s payment structure. Charge levels, charge capture, clinical coding, as well as billing, payment posting, and appeal processes affect overall reimbursement. Additionally, aging managed care contracts may lack mechanisms that allow for appropriate reimbursement for new services, new locations and chargemaster increases. Learn more below!
What Exactly is a Managed Care Contracting? - SHP
https://shpllc.com
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New KFF study regarding continued trends w Prior Authorizations. https://lnkd.in/eaYVzb_k
KFF: A look at prior authorization trends in Medicare Advantage
fiercehealthcare.com
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Revisit: Provider Enrollment Updates for 2023 | Raquel Grizzard With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about these changes. We sat down with Raquel Grizzard SHP’s Provider Enrollment expert. She has been working in Provider Enrollment since 2014 and has seen her fair share of changes, but none as dramatic as this all at once. We discuss DMEPOS, CHOW Filing, changes to the 8550, the new specialists that have been added, and more. Join Raquel Grizzard as she shares her insight and tricks of the trade for all things Provider Enrollment. https://buff.ly/3V66iiq
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What is Clinical Integration(CIN)? In 1996, the DOJ and the FTC defined CI as an active and ongoing program to evaluate and modify practice patterns by the CI network’s physician participants and create a high degree of interdependence and cooperation among the physicians to control costs and ensure quality. Learn more below!
What is Clinical Integration(CIN)? - SHP
https://shpllc.com