Managed Care Services

Working with health insurance plans has been a vital part of PFC's success in the past. We feel our provider experience gives us a unique view to bring to the table for our health plan clients. We have consulted on both sides of the proverbial fence (payor/provider) and understand the unique hurdles each is faced with to administer care. Some of our health plan services are listed below: 

• Outsourced managed care contracting
  • Rate negotiations
• Provider network development 
• HEDIS and STARS rating improvement 
• 3rd party fair-market value (FMV) appraisals for acquisitions