Case Study

Provider Network Development

Provider Network Development

Use Case A large national payer with a heavy presence in the Southwest wanted to respond to a state-wide request for proposal (RFP) in conjunction with developing a Medicaid provider network. The payer understood that Change Healthcare Consulting was well-versed in the development of provider, facility, and ancillary provider networks, and recognized that the team would be the right one for the job. The client engaged Change Healthcare Consulting to lead its RFP response team, win the requested service area, and develop a Medicaid provider network. More than a billion dollars of future business was on the line. Within a tight six-month timeline, Change Healthcare’s consultants partnered with the client to prepare a detailed proposal for how it planned to service the state’s

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