Contracting

We negotiate clinically integrated contracts on behalf of all OhioHealth Clinically Integrated Network (CIN) physicians. Participating CIN physicians and CIN leadership 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 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 providers’ behalf

 

OhioHealth 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)
  • OhioHealthy
  • Ohio Health Choice
  • United Healthcare
  • Zelis Healthcare (formerly Stratose; includes Ohio Preferred Network [OPN])

 

OhioHealth CIN Incentive Arrangements

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

 

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