For health plans, MA & Medicaid plans, and IPAs · Since 2002
Build a provider network that passes adequacy and launches on time.
When a network has to pass adequacy by a date that won't move, we contract, credential, and track every provider until it does. Then we hand your team a network it can run.
No pitch. If it fits, the next step is a two-week diagnostic: fixed fee, no commitment past it.
Organizations we've served
Organizations that have trusted us since 2002.
A selection of organizations Kearny Street Management has served.
Why network builds stall
Builds stall where one team hands work to the next.
If you've hit one of these walls, the fix is usually order and ownership: who does what next, and by when. We've watched it happen on build after build since 2002.
Contracting stalls mid-build
The strategy lands, then contracting hits a wall. By the time outreach restarts, the launch date has slipped, and the CMS application window can slip with it.
Adequacy is a moving target
CMS specialty thresholds, state rules, time and distance: what passed last review can fail the next. A gap found at submission restarts the clock.
The handoffs leak
Contracting, credentialing, configuration, and provider data sit in four systems and three teams. Nothing escalates until it is already a problem.
Not sure where your build stands?
Eight questions, two minutes. See your weak spots and what we'd fix first. No email required.
From the field
What these builds look like.
Composite examples drawn from builds since 2002. Details are combined and changed, so these are not individual client results.
Inherited six weeks before filing. Filed adequate.
A regional Medicare Advantage plan inherited a build mid-stream. The prior contractor had delivered a strategy deck and a provider list, but no signed contracts, no credentialing pipeline, and a filing six weeks out. We ran the diagnostic in week one, ranked the open counties by risk, and ran contracting outreach in all three states at the same time. The plan filed with adequacy met in every required county.
- States
- 3
- Handoff to filing
- 6 wks
- Counties adequate
- 100%
First network build, with nothing to build on.
A risk-bearing IPA entering its first direct-contract employer arrangement had no contract templates, no credentialing committee, and no provider data process. We built all three, plus a weekly review, then recruited 240 providers across a 12-county footprint. The IPA went live on time, and its own team was running the weekly review within 90 days.
- Providers signed
- 240
- Counties covered
- 12
- To running it alone
- 90 days
What we do
One team from strategy to go-live.
Strategy, contracting, credentialing, and operations in one engagement. We staff the build or work alongside your team, and we're accountable to the dates we put in writing.
Network strategy & adequacy
Footprint design, CMS and state adequacy modeling, gap analysis, and a target list ranked by impact.
What's included in network strategy & adequacyProvider contracting
Outreach, negotiation, fee-schedule design, and signed agreements at scale, without overloading your provider relations team.
What's included in provider contractingCredentialing
Primary source verification, NCQA-compliant files, CAQH upkeep, and a committee schedule that doesn't hold up go-live.
What's included in credentialingNetwork operations
Provider data, directory accuracy, adequacy monitoring, and a weekly routine your leadership can run from.
What's included in network operationsHow we work
Three steps, with an owner and a date on each.
Diagnose
We map your footprint against the adequacy rules, count the gaps, and inventory contracting and credentialing. You get a build plan with an owner and a date on every task.
Build
Target list, contract templates, outreach, negotiation, credentialing, and directory loads, run side by side and tracked weekly. We run it, or we work alongside your team.
Hand back
Adequacy monitoring, a weekly review, and a written transition plan, so your team runs the network without us.
Engagement targets
What we plan an engagement around.
Targets, not guarantees. Real numbers depend on your footprint, line of business, and starting point, and we set them in the diagnostic.
Have a network to stand up?
A build that misses the CMS application window doesn't slip a quarter. It slips a year. Start with a 20-minute call. If it fits, a two-week diagnostic gives you a county-by-county gap map, the providers to target first, and a dated build plan, and the plan is yours whether you run it with us or not.
No pitch. If it fits, the next step is a two-week diagnostic: fixed fee, no commitment past it.