BLAKEMORE CONSULTING
Your Turnkey Solution To Network Development
About Us
Our Expertise
Blakemore Consulting serves as a turnkey provider network development & management consulting firm with a team that represents relevant experience in over 40 states. We can own or assist with the development, strategy, & execution of new network builds, network expansions, re-contracting efforts, network management, & provider relations functions. Our team of experts is committed to delivering innovative solutions tailored to meet the unique needs of each client.
Why Choose Us
Blakemore Consulting can own or assist with the development, strategy, and execution of new network, builds, network expansions, re-contracting efforts, network management, credentialing and provider relations functions. With over 200 years of combined experience in developing and managing provider networks, Blakemore Consulting brings essential industry experience, streamlined operational workflows, and the necessary tools needed to drive network development opportunities across multiple markets simultaneously.
Clients Served
We work with health plans across all geographies and all lines of business. This includes, but is not limited to: TriCare, Medicaid, Medicare Advantage (MA), traditional commercial product offerings, Qualified Health Plan (“Exchange”), MA/Special Need Plans (D-SNP), Institutional Special Needs (I-SNP)] and ACO Reach.
Network Strategy & Development
Clients achieve speed to market via targeted provider contracting, what-if scenarios, network modeling, & target reprioritization. Through prior provider/market experiences, CMS datasets, local prospecting databases, and Quest Analytics / J2 Health, Blakemore Consulting has a full understanding of network development requirements, available provider options, and supporting access standards for all markets defined within client’s SOW.
Provider Contracting
Blakemore Consulting has a full understanding of network requirements & available provider options to support defined access / adequacy standards. The Network Development team has extensive contracting experience for all healthcare provider types including, but not limited to: PCP’s, specialists, behavioral health, independent physician association (IPA), physician hospital organization (PHO), acute care hospitals, specialty hospitals, post-acute hospitals, skilled nursing and rehabilitation homes, and community based service providers, long term services and support (LTSS) providers, and all ancillary providers.
Network Adequacy & Market Intelligence
Blakemore Consulting possesses a suite of analytics & reporting tools that include: Geo-mapping, client specific time/distance & or minimum provider counts, key hospital system & provider adequacy identification, adequacy progress monitoring, & proactively identifying potential adequacy risks aka network “white space.” Additionally, we provide market intelligence analytics that include: price transparency comparisons, rate benchmarking against competitors, & network-to-network comparisons.
