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Enhancing Payor and Provider Partnerships

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Daniel R Stamey

Founder, C.E.O. & Principal
Relationship Cultivator I Leadership Builder I Brand Enhancer
Strategic – Purposed – Maximizer – Value

I have over twenty-five years of experience empowering healthcare organizations and providers by successfully executing on their Network Management deliverables. I enjoy aiding healthcare organizations in achieving their business objectives through strategic planning and tactical execution.

I have strategically targeted employment with industry-leading organizations which provided me with the experience and training necessary to enhance my career. My employment history has enabled me to build on my knowledge base and expertise and has equipped me well for the services I now provide.

I have been previously employed by several Fortune 100 Managed Care Organizations such as Aetna, UnitedHealthcare, CIGNA and Amerigroup, among others. While working for these organizations, I successfully negotiated their network participation agreements, resulting in considerable increases in both revenue and market share for each employer.

I have managed strategic negotiations for Managed Care Organizations with practitioners of all specialty types, large medical groups as well as Ancillary, Acute and Behavioral health facilities for both commercial and government-sector products. I have also worked on the provider side, managing Risk-based agreements with UnitedHealthcare and Humana for a large IPA.
What I truly enjoy doing, and others have stated I do best, is helping organizations develop and improve their business opportunities. I’m skilled in maximizing their profitability, while displaying honesty, integrity, and superb customer service.

Allow me the opportunity to earn your business by developing your provider network to it’s fullest potential!

Integrity Consulting Group (ICG)

Enhancing Payor and Provider Partnerships.

In today’s rapidly evolving healthcare landscape, your organization deserves expert guidance. At Integrity Consulting Group, we provide tailored consulting services for the healthcare industry, to optimize both Payor and Provider enterprise operations, enhance patient outcomes, and drive sustainable growth. Trust Integrity Consulting Group to be your partner in navigating the complexities of healthcare with confidence and clarity.

Payor Network Development Initiatives

ICG has more than 25 years of experience empowering healthcare organizations and providers by successfully executing on their network management deliverables. We have a passion for healthcare. We excel at aiding healthcare organizations in achieving their business objectives through strategic planning and tactical execution. ICG has a pool of trusted and experienced consulting professionals to draw from to fully staff any engagement we secure regardless of its scope or size.

Practice Contract Management and Support

ICG can support your practice by gaining network participation status with healthcare payors/carriers. Additionally, if you’ve been in practice for several years and haven’t received a reimbursement increase on your payor fee schedule, then you are most likely leaving money-on-the-table, that you are eligible to receive. ICG can work on your behalf, to attempt to renegotiate your agreement to obtain your highest possible reimbursement for your experience and expertise. ICG is an industry leader who can also help your practice grow by helping your practice onboard with major payors/carriers and by adding new service lines like the ACA/Exchange, Medicare Advantage, Medicaid and Dual-Eligible, to name a few. We can also renegotiate your current payor agreements to attempt to secure more favorable agreement language terms, which could reduce your practice’s level of liability and litigation risk.

We are a local company, right in the heart of the DFW Metroplex. This means we are more available to provide the solutions your practice needs than the larger billing companies, many of whom are overseas. With ICG, your health plan or practice receives personalized service and expertise. Put all this together, and it’s easy to see why ICG is the best solution for your contracting needs. Allow us the opportunity to earn your business by enhancing your insurance payor and provider partnerships to their fullest potential.

ICG has managed strategic negotiations for Managed Care Organizations with practitioners of all specialty types, large medical groups as well as Ancillary, Acute and Behavioral health facilities for both commercial and government-sector products. What we truly enjoy doing, and others have stated we do best, is helping organizations develop and improve their business opportunities. We’re skilled in maximizing their profitability, while displaying honesty, integrity, and superb customer service. Allow ICG the opportunity to earn your business by developing your provider network or practice to its fullest potential!

ICG’s Services

Network Development & Optimization

ICG specializes in achieving both network adequacy and network optimization for clients who are expanding their business into new geographies or with new products lines of business:

  • Exchange (ACA)
  • Medicaid
  • Medicare Advantage
  • SNP (both C-SNP & D-SNP)
  • LTC
  • Commercial Worker’s Comp
  • Dental Managed Care Contracting

ICG excels in negotiating rates and redlining contract language with providers throughout the country. Our skillset and knowledge allows us to successfully contract complex systems including:

  • Large hospital systems
  • Multi-specialty groups
  • IPAs
  • ACOs
  • Labs
  • SNF’s
  • RHCs & FQHCs
  • Individual providers
  • Ancillaries

Credentialing

ICG can support your practice by gaining network participation status with healthcare carriers/payors. Additionally, if you’ve been in practice for several years, we can renegotiate your reimbursement with your participating carriers in an effort to increase your practice’s revenue and gain the highest possible reimbursement for your services and expertise.

Consultative Support

ICG’s subject matter experts are industry leaders who can help your organization grow new product lines such as, ACA/Exchange, Medicare Advantage, Medicaid or Dual Eligible plans. Our subject matter experts include:

  • Medicare Compliance Executives
  • Medical Directors
  • Medicare Advantage Plan Executives
  • Population Health/ACO Experts
  • Network Development Advisors

What our clients say about us and our work

Daniel is a true professional in every sense of the word.  He is always thoughtful, tenacious and creative in seeking and finding win-wins between insurers and health systems.  We entrusted Daniel with some of our most challenging and strategic projects, and he never disappointed us.  Beyond simply driving great results, Daniel always leads with the heart, never forgetting how our work affects people – our team, our partners, and most importantly, our members.

“It is hard to overstate the meaningful contributions Daniel has made to Friday Health Plans and the type of leader Daniel is. He is creative, resourceful, efficient, hard-working, honest, and ethical.  He is continuously finding ways to support the team and organization and never retreats from challenges and complicated tasks.  He is one of the best employees I’ve had in my over 20 years as a healthcare executive.”

A conscientious professional, Daniel was diligent in keeping me apprised about his efforts. He is well liked and respected by the provider networks. As a result, Daniel was very effective in contracting with these entities and set up contracts which were mutually sustainable and fair. He is strategic in his thinking and able to target areas where network adequacy must be addressed. This skill and relationships within the industry enabled him to establish a robust network expeditiously. As his tenure at Imperial progressed, Daniel diversified from contracting to network development and provider relations. He also facilitated meetings with regulators and traveled to various regions within Texas to help Imperial become increasingly relevant.

“Daniel is a valued colleague. His vast experience in health care enables him to prepare, probe and propose during managed care negotiations. Our firm and clients have benefited having Daniel on our current project, and we look to many years of business engagements as we strategically prepare for future endeavors”

I have had the pleasure of working with Daniel throughout the past year on a variety of assignments in the network development arena.  Daniel has vast experience and establishes trust with prospective providers and with clients alike.  Furthermore, he is tenacious in his pursuit and leverages his approach and experience in working with teams in a collaborative fashion, including (critically) making suggestions on judiciously changing tactics and procedures if it will provide more for effectiveness and success in our endeavors together.  We trust him and are pleased to offer our recommendation of him without reservation.

Highlights

Experienced

25 years of healthcare contracting experience

Comprehensive

Experienced with all provider specialty and product line of business types

Trust

Relationship longevity and enhancement specialist

Insightful

Employment experience with top 3 managed care organizations in the healthcare insurance industry

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