Visit IPM Pulse, our blog dedicated to the healthcare payer community and Integrated Provider Management (IPM).

Provider Relationship Management

MHS’s Provider Relationship Management (PRM) solution gives the health plan’s provider relations team the tools they need to easily orchestrate their field and service center operations. Pre-built servicing workflows and self-service tools streamline interactions and ensure a better provider experience. Multi-channel communication support enables both mass and personalized communications. MHS’s PRM solution lowers your cost of serving providers while optimizing communication.

Business Challenges:

• Fragmented provider systems and processes resulting in sub-optimal provider service experience
• Increasing need for targeted provider outreach outstripping the paper-based supporting process
• Difficulty in obtaining an accurate and timely view into provider relationship status with the plan

Key Features:

• 360° snapshot of providers relationships (e.g., correspondence, issue/grievances, enrollment status, contract status, events, site visits, etc.)
• Flexible outreach/campaign management (e.g., configurable templates and workflow)
• Drill-down dashboards outreach/campaign performance
• Rules-based workload balancing for provider relationship management staff
• Dynamic staff assignment (e.g., territory, top tier providers, provider specialty/types, etc.)
• Workflow-driven site visit management (e.g., automated scheduling, tracking and visit recording)
• Staff activity management and productivity reporting
• Seamless integration with recruiting, credentialing and contracting

Key Benefits:

• Timely and appropriate provider outreach enhances plan-provider relationships
• Optimize the workload and assignments of provider relations staff
• Detailed insight into provider relationships
• Mass and customizable outreach campaign options contribute to a lower provider relationship management cost