The Issue
America has made a commitment to providing its veterans access to high-quality medical care when they need it. The U.S. Department of Veterans Affairs has an awesome responsibility, providing a full range of healthcare services to America’s 23.6 million veterans whether they reside in our urban centers, small towns, or the rural countryside. In a perfect world, every veteran would reside within a short driving distance of a VA medical center fully-equipped and staffed to handle every possible medical situation. The next best alternative is to couple VA’s 1,000+ world class medical centers and clinics with a vast network of community-based providers. Provider Networks does just that.
The Solution
Provider Networks helps the VA expand its capabilities and capacity by delivering custom networks of community-based physicians, hospitals, ambulatory surgery centers, dialysis centers, and allied health professionals. We offer network solutions for inpatient and outpatient primary care and all specialties throughout the United States.
We work with VA medical centers and Veterans Integrated Service Networks, leveraging our proprietary tools and analytics to determine the optimal approach to community-based care, designing network offerings that complement, rather than compete with, existing medical center capabilities.
Our experienced team of network development professionals draws from our relationships with hundreds of thousands of providers nationwide, many in rural areas, to develop customized network solutions.
Provider Networks offers many value-added services such as:
- Consultative network design based on historical or projected capacity and/or capability deficiencies
- Reimbursement rate and fee schedule modeling and negotiation to ensure judicious use of fee basis expenditures
- Thorough provider credentials verification to ensure compliance with VA’s standards of patient care
- Specialized provider training programs to educate network providers about the unique patient care needs of veterans
We combine 30+ years of experience building customized provider networks for Government programs and commercial insurance products with a unique understanding of the VA’s veteran-centric mission.
For more information about how Provider Networks can design and deliver a community-based provider network contact:
Angela Sullivan Louis
Director, Network Operations
Humana Veterans Healthcare Services, Inc.
(502) 301-6991 or
alouis@humana.com
