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Metropolitan Health Provider Management networks
With ongoing changes in the healthcare industry, it is becoming increasingly important to establish sustainable partnerships with providers and to have contracts in place to ensure cost efficiency and quality of care (based on outcomes), as well as to protect members from unbudgeted co-payment structures.
Our national primary care network, consisting of general practitioners, dentists and optometrists, has been strategically developed to ensure access to quality healthcare services in support of the geographical spread of membership, membership growth and future business.
The overarching goal of this programme is to manage risk and ensure access to quality healthcare for our clients and their members or employees. This is achieved through the development of sustainable partnerships with our service provider network.
Our integrated network solution offers:
- provider contracting with various disciplines of providers
- network management services
- seamless electronic claims submission and payment
- provider profiling and outcomes assessment
- procurement of services
- a one-stop service ability relating to all these aspects.
SERVICE PROVIDER REGISTRATION
The premise for our Networks offering is a strong frontline primary care focus associated with the management of the total cost of healthcare. Providers are contracted to deliver the service of health maintenance, acute and chronic care and to co-ordinate referrals to higher levels of care (specialists and tertiary care), where clinically appropriate.