Managed Care Contracting

Managed Care Contracting Expertise for Private Practices in Fort Worth, Texas

At PONI Network, we understand that managing care contracts can be a complex and time-consuming responsibility for private practice physicians. That is why we offer managed care contracting services in Fort Worth and other nearby areas in the North Texas region. Our team possesses over 20 years of combined expertise in optimizing payor relationships and handling contract intricacies. We simplify the process for you, so you can focus on providing quality care to your patients.

Understanding Managed Care Contracting

Managed care contracting refers to the process of negotiating and managing contracts between healthcare providers, such as physicians or hospitals, and insurance companies or other payors. These agreements establish the terms and conditions of how providers will deliver care to people covered by specific health plans. Managed care contracting is crucial for private practices, as it determines reimbursement rates and sets guidelines for patient care.

The Importance of Expertise in Managed Care Contracting

Negotiating managed care contracts requires a deep understanding of complex legal terminology, fee schedules, payment structures, and regulatory compliance. Without the right expertise, private practice physicians may end up signing unfavorable contracts that can negatively impact their revenue and patient care. Our team at PONI has in-depth knowledge and experience in handling the complexities of managed care contracts, making sure our clients get fair reimbursement rates and stay fully compliant.

Our Managed Care Contracting Process

Assessment & Strategy Development

We start by understanding your practice's needs and goals. Our team conducts a thorough review of your current contracts and payor relationships to identify areas for improvement and develop a tailored contracting strategy.

Payor Negotiation

Once we’ve established a strategy, we handle negotiations with payors on your behalf. Our goal is to secure fair reimbursement rates, simplify contract terms, and reduce administrative burdens to align with the best interests of your practice.

Implementation & Optimization

After agreements are finalized, our team works with you to implement the new contracts seamlessly. We ensure your practice is set up for success with optimized terms and streamlined processes to maximize benefits.

Ongoing Monitoring & Support

We provide continuous monitoring, updates, and support to ensure compliance with evolving regulations and payor requirements. Our proactive approach keeps your agreements optimized for long-term success.

Adapting to Value-Based Care

As the industry shifts toward value-based care, we help your practice stay ahead by structuring contracts that reward quality and performance. This ensures you’re prepared to deliver better outcomes while benefiting from incentive-based models.

Why Choose PONI for Managed Care Contracting?

When you partner with PONI, you’re choosing a trusted leader in managed care solutions with decades of experience helping private practices thrive. Our team is here to simplify healthcare contracting, credentialing, and value-based care—so you can dedicate more time to providing quality healthcare to your patients. Having a reputation for reliability and results, PONI is proud to be the go-to resource for private practice physicians in Fort Worth, Texas and beyond. Here’s why they trust us:

Extensive Payor Network: Gain access to over 60 contracted payor agreements, including Commercial, Medicare, Medicaid, Workers’ Compensation, and Health Exchange programs. We’ll match you with options that fit your practice’s unique needs.
Expert Negotiation: With over 20 years of combined experience, our team ensures your contracts are optimized to increase reimbursement, cut down administrative headaches, and align with your financial goals.
Streamlined Processes: You can depend on us to handle credentialing, enrollment, and contract management so you can focus on patient care. Our systems make these processes smooth and stress-free.
Custom Contracting Support: Looking to work with a payor outside our network? We’ve got you covered with flat-fee contracting services designed to expand your options and meet your practice’s needs.
Value-Based Care Readiness: We’ll help you stay ahead as healthcare evolves. Our contracts are set up to align with performance and quality metrics, so your practice is ready for the future.

With PONI, you’re not just getting a service

you’re gaining a partner who understands the challenges you face and is dedicated to helping your practice succeed. Contact us today to learn more about our managed care contracting service in Fort Worth, Texas.

Managed Care Contracting