Provider network builds · Since 2002
The network you promised your members, built, adequate, and running.
When a provider network has to be built, fixed, or made adequate by a regulatory deadline, we run the work from the first gap map to go-live. Then we leave your team the tools and the routine to keep it adequate.
No pitch. If it fits, the next step is a two-week diagnostic: fixed fee, no commitment past it.
Sound familiar?
If your build is stuck, look at the handoffs first.
Almost every organization can produce a network strategy. Far fewer can turn it into signed contracts, verified providers, and an accurate directory before the filing window closes. Builds break in the same three places.
The build stalls in the middle
Strategy lands, then contracting hits a wall. The easy signatures are done, and what's left is the hard part: health systems that negotiate slowly and specialties with thin supply.
Adequacy keeps moving
Time-and-distance standards, minimum counts, and appointment-availability rules change, and so do your providers. A network that passed at filing can fail after one group leaves.
The handoffs leak
Contracting, credentialing, configuration, and provider data sit in four systems and three teams. A provider signs but never reaches the directory, and nothing escalates until it's already a problem.
A missed adequacy window doesn't cost you a quarter. It costs you a year.
Filing deadlines, member access, and your credibility with regulators and your board all ride on it. What counts is signed contracts and verified providers, in the filing, on time.
Why teams call us
We've been the ones answering for the filing date.
Kearny Street Management has done this since 2002, for plans and for providers. That matters more than it sounds: we can read a contract from the health system's side and the plan's side at once, see where a negotiation will stall, and price a deal both parties will sign.
You get a senior team that has stood up networks in new markets, restarted builds that had stalled, and handed finished networks back to the people who run them. The people you meet are the people who do the work.
One team, every discipline a build needs
Most network problems sit between these functions. We hold all of them, so nothing gets lost in a handoff.
What we build
The whole network, not one piece of it.
Strategy through go-live, owned by one accountable team.
Network strategy & adequacy
We map where your members live against CMS and state standards, find the gaps before a regulator does, and build the recruitment list that closes them, so you pass on the first submission.
Provider contracting
Outreach, rate conversations, redlines, and closing, with contract language you can defend and rates that hold up in a competitive market.
Credentialing
Primary source verification, CAQH upkeep, and committee-ready files, scheduled so a provider who signs in March is payable at go-live, not months later.
Network operations
Directory accuracy, provider data, and the weekly review that keeps a network adequate after launch. Then we write it down and turn it over to your team.
Credentialing without the full build. Already have the contracts but behind on verification? We run credentialing as a standalone engagement, scoped to just that bottleneck. See credentialing services
Experience + technology
Experience since 2002, and software that shows where every contract stands.
Most consultancies hand you a spreadsheet and a status call. We build the network and give you the system that runs it: provider portals, outreach campaigns, and live tracking, so the people doing the work and the people accountable for it look at the same screen.
Provider portals
A secure, branded portal where provider offices receive, sign, and return contracts. Each customer sees only their own documents, enforced at the database level, with a full audit trail, bulk export, and a searchable archive.
- Send, sign, and return contracts online
- Strict per-customer isolation and encrypted storage
- Reusable templates: send to a new office in one click
Outreach campaigns
Provider recruitment depends on follow-up. We run structured, multi-step outreach, written in plain language and connected to your CRM, so nothing depends on someone remembering.
- Multi-step follow-up on a set schedule
- Connects to the CRM you already use
- Sent from a named person on your team
Communication, feedback & tracking
You shouldn't have to ask where the build stands. Reminders, live status, turnaround reports, and exports give you and your board the same picture at any moment.
- Automatic reminders and in-app notes
- Turnaround time and completion-rate analytics
- CSV export and bulk download for filings
The contract portal is in use today.
Provider offices sign and return contracts through it now, with automatic follow-up and reports your team can hand to leadership.
How it works
Three steps, with an owner and a date on each.
We look at the opportunity, plan it, and run it, with one person accountable for each task, real dates, and a weekly review you can see.
Diagnose
Two weeks. A county-by-county gap map, the providers to target first, and a dated build plan, before you commit to anything longer.
Build
Contracting and credentialing run side by side against a live tracker, with an owner and a date on every task.
Hand back
We take it to go-live, show adequacy, write down the weekly routine, and step back so your team runs it.
Who we do this for
If a network stands between you and your next market, we should talk.
What winning looks like
A network you stop worrying about.
The goal is a network that passes review, launches on time, stays adequate, and that your own team can run. Behind every adequacy number is a member who can get an appointment.
- On-time market launches, with no last-minute rush
- Adequacy met when you file, and monitored after
- Clean contracts and credentialing files that hold up under review
- An accurate provider directory members can trust
- A written weekly routine, not knowledge in one person's head
- A network your team can run confidently without us
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
An independent orthopedic ASC was ready to do total joints, but its payer contracts made every case a loss.
We built the cost model, brought in an implant purchasing group so the center didn't carry the implant cost, and took a defensible rate to a national payer. The payer signed, and knee cases started right away, at a projected $2,500 to $3,500 more margin per case.
Read the case studyTake something with you
Not ready to talk yet? Take the sheet for your market.
Print it, forward it, or bring it to your next leadership meeting. No form, no email required.
Need the whole firm on one page? See every brochure. Or read our articles on network adequacy, contracting, and credentialing.
Common questions
What people ask before they call.
Do we have to hand you the entire network?
No. Many engagements start with one bottleneck, often credentialing or a contracting effort that stalled. The diagnostic scopes exactly what you need and nothing more.
What if our build is already underway and stuck?
That's one of the most common places we come in. We take over stalled builds, find where they stopped, and get them moving again without starting over.
Do we have to use your technology?
No. The portal, campaigns, and tracking are there because they make builds move faster and give you visibility. If you already have systems you like, we work inside them.
What happens when you leave?
Your team taking over is part of the plan from day one. You keep the trackers, the review schedule, the documentation, and a network your team already knows how to run.
Talk to the founder
I've watched a lot of builds go quiet around week six. Usually it isn't strategy. It's that nobody owns the hard middle. Tell me where yours is stuck and I'll tell you straight whether we can help, and what I'd do first.
Dave Smith
Founder, Kearny Street Management
Building provider networks since 2002, for payers and for providers.
A 20-minute call. No pitch and no slides, just a straight read on where your build stands.
Tell us where your build is stuck.
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. Fixed fee, no commitment past it, and the plan is yours whether you run it with us or not.