Managed Care Partners
Outsourced Managed Care for Rural Hospitals
- A Cost-Effective Managed Care Model for Rural Providers
- Strengthening Rural Hospital Sustainability
- Specialized Support for Critical Access Hospitals and Rural Health Clinics
Managed Care Partners, Inc. serves as the outsourced managed care department for rural hospitals, supporting rural healthcare systems through a long-standing partnership with the association. Since our inception, our focus has been on rural healthcare, working with hospital leadership to strengthen payer contracts, improve reimbursement, and identify opportunities that support the financial sustainability of rural providers.
Our team specializes in supporting Critical Access Hospitals and Rural Health Clinics through contract evaluation, payer negotiations, reimbursement analysis, and strategic managed care guidance. Services are delivered through a flat-fee model, providing rural hospitals with comprehensive managed care expertise without project-based or per-contract consulting costs.
Your Challenge:
Limited reimbursements and rising costs are squeezing budgets.
Our Response:
We will work with you to spot slow and inaccurate payments and recapture revenue to maximize your cash flow.
Your Challenge:
When you’re sitting across the table from well-capitalized payers, it can be difficult to get a favorable agreement.
Our Response:
We will conduct independent financial analysis that yields the information you need to negotiate effectively. We work only for our providers, never payers.
Your Challenge:
Losing market share to urban hospitals or lower-priced free-standing facilities.
Our Response:
We will support your outreach to local self-funded employers that helps to direct their members to your provider-based services.
Hard Work. Common Sense Solutions.
Proven Results.
Rural hospitals are encouraged to connect with Managed Care Partners to discuss their managed care strategy and explore opportunities to strengthen payer contracts and reimbursement.
We Work for You
Learn why so many small-to-medium hospitals and health systems rely on Managed Care Partners for effective, common-sense solutions for improving profitability and Health Ownership 365
Payment Audits
Getting paid according to the terms you negotiated may make or break your profitability. We help you ensure you’re paid according to the terms of your agreements.
Physician Practice Fee Schedules
Helping you to establish a uniform reimbursement model and compare methodologies being used to update schedules over time.
Credentialing
Making it easier for you to ensure your managed care services are in compliance and operating effectively.
Healthcare Plan Management
Health Ownership 365™ is an analytically driven, primary care-focused program that integrates employee medical, behavioral health, and prescription drug management into a comprehensive Whole Person Care approach
Managed Care Partners teams with critical access hospitals, small rural hospitals, and physician groups to create superior managed care financial performance.
Contact
Get In Touch
Managed Care Partners, Inc.
875 N. Addison Avenue
Suite 200
Elmhurst, IL 60126
630.936.4211 – phone
630.617.4222 – fax
