Kearny Street Management
Provider Network Development
IPAs & Risk-Bearing Orgs
For IPAs, MSOs, and provider groups taking risk
Take the risk. Keep control of the network.
Taking downside risk changes what your network has to do. The contracts, the delegated functions, and the provider data all have to hold up to a payer's audit — and to your own economics.

Sound familiar?
- Payer negotiations where you're the smaller party at the table
- Delegation is on the table but you're not audit-ready
- Provider rosters and attribution don't reconcile
- Vertical integration is squeezing independent groups
What we take off your plate
Payer contracting strategy
Rate posture and terms negotiated from a defensible position.
Delegated credentialing readiness
Policies, files, and committee governance that pass a delegation audit.
Network & provider data ops
Rosters, attribution, and directory data that reconcile cleanly.
Value-based terms
Quality and total-cost arrangements you can actually operate.
A simple plan
1
Diagnose
Contracts, delegation gaps, and data readiness.
2
Build
Negotiate, remediate, and stand up the functions.
3
Hand back
Your team runs it; we step out.
What winning looks like
- Payer agreements that reflect what you actually bring
- Delegation earned and defensible under audit
- Independence preserved in a consolidating market
Talk to Dave Smith, Founder
770.329.9823
dsmith@ksmnetwork.com
A 20-minute call. No pitch.