Provider Network Builds · Est. 2002
The network you promised your members — built, adequate, and running.
Health plans, Medicare Advantage and D-SNP entrants, IPAs, and risk-bearing organizations bring us in when a provider network has to get built, fixed, or made adequate — on a regulatory clock, with no room to miss. We run the build end to end with operators who have sat on both sides of the table, and we give you the technology to run it long after we leave.
Fixed fee · No commitment past the diagnostic · Two weeks to a build plan
Sound familiar?
If your build is stuck, it isn't a strategy problem.
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, every time.
The build stalls around week six
Strategy lands cleanly, then contracting hits a wall. The easy signatures are done and what's left is the hard middle — the health systems that negotiate slowly, the specialties with thin supply. Progress goes quiet exactly when the deadline gets loud.
Adequacy keeps moving
Time-and-distance standards, minimum counts, and appointment-availability rules don't hold still — and neither do your providers. A network that passed at filing can fail after one group departure.
The handoffs leak
Contracting, credentialing, configuration, and provider data sit in four systems and three teams. A provider signs but never reaches the directory. Nothing escalates until it's already a crisis.
A missed adequacy window doesn't cost you a quarter. It costs you a year.
Filing deadlines. Member access. Your credibility with regulators and your board. Networks aren't a slide deck — they're signed contracts and verified providers, delivered on time or not at all.
Why teams call us
You don't need another deck. You need operators.
Kearny Street Management has been doing this since 2002 — on both the payer side and the provider side. That matters more than it sounds. It means we can read a contract from the health system's chair and the plan's chair at the same time, anticipate exactly where a negotiation stalls, and price a deal both parties will actually sign.
You get a senior team that has stood up networks in new markets, rescued builds that went quiet, and handed finished networks back to the people who run them. No layers. No junior staff learning on your deadline.
One team, every discipline a build needs
Most network problems live in the seams between these functions. We hold all of them, so nothing falls through a handoff.
What we build
The whole network — not a slice of it.
Strategy through go-live, owned by one accountable team.
Network strategy & adequacy
We map where your members actually live against CMS and state standards, find every gap before a regulator does, and build the targeted recruitment list that closes it — so you pass on the first submission.
Provider contracting
Outreach, rate conversations, redlines, and closing. Defensible language and a rate posture that survives a competitive market, moving agreements from 'interested' to countersigned.
Credentialing & compliance
Primary-source verification, CAQH hygiene, and committee-ready files run as a real critical path — so a provider who signs in March is payable at go-live, not months later.
Network operations & hand-back
Directory accuracy, provider-data operations, and the weekly cadence that keeps a network adequate after launch. Then we document it and hand it back, running.
Credentialing without the full build. Already have the contracts but drowning in verification? We run credentialing as a standalone engagement — same committee-ready rigor, scoped to just the bottleneck. See credentialing services
Experience + technology
Two decades of judgment, wired into modern software.
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 are finally looking at the same thing.
Provider portals
A secure, branded portal where provider offices receive, sign, and return contracts. Every customer sees only their own documents, enforced at the database level. Full audit trail, bulk export, and a searchable archive of everything ever sent.
- 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 lives or dies on follow-up. We run structured, multi-step outreach sequences that keep contracts moving — written to sound like a person, not a robot, and wired into your CRM so nothing depends on someone remembering.
- Multi-step follow-up sequences on a real cadence
- CRM integration (GoHighLevel and similar)
- Sent from a named person on your team
Communication, feedback & tracking
You should never have to ask where the build stands. Automated reminders, live status, turnaround analytics, and exportable reporting give you and your board one honest picture of the network at any moment.
- Automatic reminders and in-app notes
- Turnaround time and completion-rate analytics
- CSV export and bulk download for filings
This isn't a roadmap. It's running today.
Our contract portal is live and in use — secure document exchange, automated follow-up, and reporting your team can hand straight to leadership.
How it works
A simple plan, executed on a cadence.
We listen to the opportunity, map a plan, and execute it — with named owners, real dates, and a weekly rhythm you can see.
Diagnose
Two weeks. A clear, honest read on your network, your gaps, and the real path to adequacy — before you commit to anything long.
Build
Contracting and credentialing run in parallel against a live tracker, with named owners and dates, so the critical path never goes dark.
Operate & hand back
We take it to go-live, prove adequacy, document the operating cadence, and hand it back so your team runs it with confidence.
Who we do this for
If a network stands between you and your next market — we should talk.
Health plans
New markets, new products, or a network that stopped passing.
MA & D-SNP entrants
First-year builds against a CMS application calendar that does not move.
IPAs & physician groups
Standing up or strengthening a network to take on risk.
Risk-bearing organizations
ACOs and value-based entities that need real contracted depth.
What winning looks like
A network you stop worrying about.
The goal was never a consultant on retainer. It was a network that passes, launches, holds — and that your own team can run. Behind every adequacy number is a member who can actually get an appointment.
- On-time market launches, with no last-minute scramble
- Adequacy met at first submission — and monitored after
- Clean, defensible contracts and credentialing files
- An accurate provider directory members can trust
- A documented operating cadence, not tribal knowledge
- A network your team can run confidently without us
From the field
An independent orthopedic ASC needed a national payer relationship and an implant-purchasing arrangement to make a total-joints line viable.
We led the strategy, negotiated the contracting, and stood up the operational workflow. The line went live on schedule — adequate, credentialed, and payable from day one — and the team kept running it after we stepped out.
Read the case studiesTake something with you
Not ready to talk yet? Take the brochure.
Print it, forward it, or bring it to your next leadership meeting — no form, no email required.
Or read the playbook — 58 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 is designed to scope 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 inherit stalled builds, find where the critical path went dark, and get it moving again without restarting from zero.
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?
The hand-back is part of the plan from day one. You keep the trackers, the cadence, 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 · Twenty years building provider networks, on both sides of the contract
A 20-minute call. No pitch, no deck — just a straight read on where your build stands.
Find out how Kearny Street can help with your next build.
Start with a two-week diagnostic: a clear, honest read on your network and the real path to adequacy. Fixed fee, and no commitment past it — you walk out with a plan whether you run it with us or not.