Supporting independent providers in value-based care contracts across New York.
Network Solutions IPA (NSIPA) is your trusted partner in value-based care, helping your practice navigate and succeed in complex value-based contracts. Through strong payer relationships, hands-on operational support, and actionable performance insights, NSIPA provides the tools and expertise needed to improve patient outcomes, ease administrative burden, and maximize incentive opportunities.
Our network is strengthened by offering comprehensive credentialing and provider data management services reducing your overall administrative burden with payers.
Our Provider Engagement model is tailored to the specific needs of your practice and supported by our team of Practice Engagement and Performance Managers. We help with credentialing, payer issues, and EMR access/integration, making day-to-day operations easier. We also review your performance across value-based care contracts and work with you to create a clear plan to improve results and drive success.
We act as a liaison between your practice and the payers, helping resolve any payer concerns and coordinating on-site presence to retain your membership and grow your panel with minimal effort from your staff.
Our Care Management team partners with your practice to identify and close care gaps. With EMR access, they can quickly identify missing screenings, visits, or services and help ensure they are completed. We also manage supplemental data submissions on your behalf to ensure nothing is missed—helping maximize your year-end performance bonus. This is why granting EMR access is so important.
We conduct medication adherence follow-up calls to help ensure your patients have the necessary prescriptions and that their medications are filled and taken as directed. Medication adherence is essential for effectively managing chronic conditions, improving patient outcomes, and preventing complications.
Our team ensures outreach occurs for patients who are discharged from the hospital within the required two-week window to confirm patient stability, support continuity of care, and help schedule a follow-up appointment with their PCP.
We support practices by helping ensure documentation and coding are accurate and complete so services are properly reimbursed and patient complexity is accurately captured. Strong documentation and coding practices are essential for improving quality scores, strengthening value-based care performance, and ensuring your practice receives appropriate credit for the care you provide.
We help practices identify high-risk and high-cost patients, reduce unnecessary ER visits and hospitalizations, and promote preventive care and early intervention. Through better care coordination and targeted outreach, we support improved patient outcomes while lowering overall healthcare costs, strengthening performance in value-based care contracts.
EMR access is essential to the success of both NSIPA and your organization under value-based care contracts. Our team securely accesses your EMR to pull the data needed for supplemental submissions to payers—reducing administrative burden while ensuring accuracy and compliance. Submitting additional data on your behalf allows us to close care gaps and ultimately increase your incentive potential.
We support your practice with appointment scheduling through our centralized call center, helping with patient outreach and coordination to reduce administrative work. Our care coordinators call on your behalf to schedule annual wellness visits and address care gaps—helping improve outcomes and increase your incentive potential.
We support practices by providing care coordination and ongoing management for eligible patients with multiple chronic conditions, including patient outreach, care plan support, and documentation. Our CCM services also create additional revenue opportunities through recurring monthly payments for each enrolled patient.
NSIPA provides your practice with free access to our Population Health Platform, The Garage. This tool helps you track HCC coding opportunities, identify care gaps, and monitor performance across payer contracts to improve quality scores and revenue.
We offer screening and navigation services for Medicaid eligible patients for 1115 Waiver programs, including health related service needs such as food insecurities and home remediation services as required.
We offer provider education seminars, marketing and networking events, CME credits, and mobile mammography services, all designed to support your practice’s success in value-based care.
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