Contracting

OhioHealth Group (OHG) negotiates clinically integrated contracts on behalf of all OhioHealth Group Clinically Integrated Network (CIN) physicians. Participating CIN physicians and OHG’s executive management team are committed to this contracting model because it demonstrates value – high quality and efficient delivery of patient care – to payers and patients.

 

Benefits of OhioHealth Group CIN Contracts

  • Negotiation of payer contract language, terms and reimbursement rates
  • Incentive programs offering opportunities for additional compensation, such as Pay for Quality and Total Cost of Care/Shared Savings
  • Contractual support including issues related to contract language, claims, pre-certification, appeals and demographic updates
  • NCQA certified credentialing and re-credentialing, including communication of credentialing updates to contracted payers on physicians’ behalf

 

OhioHealth Group CIN Contracts

  • Aetna (Commercial and Medicare Advantage)
  • ChoiceCare
  • Cigna
  • First Health (includes Coventry)
  • HealthSmart (includes AHPO, Emerald and Interplan)
  • Humana (Commercial and Medicare Advantage)
  • Medical Mutual of Ohio (Commercial and Medicare Advantage)
  • OhioHealth(HealthReach Preferred)
  • Ohio Health Choice
  • United Healthcare
  • Zelis Healthcare (formerly Stratose; includes Ohio Preferred Network [OPN])

 

OhioHealth Group CIN Incentive Arrangements

OhioHealth Group CIN practices can view detailed information about these contracts, including Administrative Rules and Fee Schedules, by signing into “My Dashboard.”

 

Need help or more information? Click here to contact OHG Contracting.