Network Solutions Offer Savings, Access And Quality
Savings, access and quality—those are the criteria driving any employer’s decisions about provider networks. MedCost’s network solutions are designed to create savings for your employees and your health plan, while offering broad access to a variety of the highest quality medical providers and facilities.
The MedCost Network has significant presence throughout the Carolinas, so you can rest assured that your health plan members have access to the best possible care. In 2017, MedCost also acquired Virginia Health Network, Inc. (VHN), a Preferred Provider Organization based in Richmond, Virginia, expanding our proprietary network to more than 75,000 providers.
MedCost uses our vast experience in hospital and physician contracting to provide broad access and substantial savings to members while ensuring a continuum of quality care. Most health care providers in North and South Carolina and Virginia are included in the network, meaning members experience minimal disruption due to a physician or hospital not being part of the network. Members have open access to physicians across a broad range of medical specialties, including tertiary hospitals and all types of ancillary services, such as home health, hospice care, durable medical equipment, home infusion therapy services, prosthetics, and orthotics. MedCost Network physicians and hospitals are required to meet strict credentialing criteria and also must follow an approval process for recredentialing every three years to remain in the network. MedCost has been URAC accredited in provider credentialing since 2000, which assures our clients and members of our compliance with federal and state credentialing standards.
With the positive relationships we maintain with other strong national and regional networks, MedCost also can meet the needs of employers across the country.
National Coverage Through AHA
To complement our network footprint in Virginia, North and South Carolina, MedCost also offers access to national network coverage through a relationship with American Healthcare Alliance (AHA). Founded in 1990, AHA links over 50 local and regional PPOs across the country, offering greatly expanded coverage, even in rural areas. This gives your health plan members the security of having an extended network of providers, particularly when traveling on vacation or business (within the continental U. S.), as well as being available for out-of-state college students. Employers can choose to administer the AHA network as an open-access network or emergency only travel network to balance the needs of your organization and health plan members.