Essential HealthCare Solutions, LLC is a national consulting firm and healthcare management company. The core services include building provider networks and healthcare consulting. The team has extensive experience in provider network development, contract negotiations, contract execution, healthcare consulting and management services. Our experienced team has payer and provider experience making us uniquely qualified to understand the marketplace, anticipate the needs and bridge any gaps.Our approach in building provider networks is: A comprehensive solution with the following three key areas of focus:Provider Speed to Market – We have developed statewide and national provider networks and can meet very aggressive milestones, engage providers and deliver quality contractsHigh Performing Networks – Network status visibility and prioritization with competitive negotiations, well priced networks and ability to monitor goalsMarket Penetration – Engagement of providers and facilities in the market area quickly to establish value proposition and relationships for network growth and sustainability as well as filling in gaps needed to meet network adequacy requirementsCredentialing Verification – We use a robust credentialing verification management system that performs primary source verification for state licensure, background checks, malpractice history and verification to ensure the safety of those that are served. We are confident in our abilities to bring contracted providers to any network and can build a robust network based in any timeline and within budget. Our expertise and vast experience in the healthcare field will contribute to the overall success of any project by accurately pricing the reimbursement to the providers for services rendered, effectively communicating the opportunity and secure their participation as well as secure payer contracts for providers that yield positive financial, on time deliverables and service outcomes.

Network Development Provider / Facility Contracting Value Based Contracting Capitation Contracting Behavioral Health Networks LTSS Provider Networks Medicare / Medicaid Networks Commercial Networks Tricare Networks Business Aquisitions / Sale of Healthhcare Entity Payer contracting for Facililities and Providers Credentialing Solutions Revenue Cycle Managment Claims Adjudication for Payers Claims Processing Behavioral Health Startup or Expansion of Services Management Consutlting / Strategic Planning Federal State Local Government Contracts National Ancillary Contracts Physician Practice Management Suboxone Clinics Rural Health Clinics Government Contracting Small Business Woman owned company classification Large Payer Network Development Projects Managed Care Population Health Claims Adjudication Workmen's Comp Medicaid Medicare Advantage Payer Contracting Contract Negotations Vision Networks HealthCare Staffing RFP development Workmen's Comp