We are able to achieve these goals through efficient business management and a commitment to preventive and primary care measures provided by our primary care physicians. This network offers patients access to some of the finest physicians in North Central Florida… providing excellence in care at every stage of life.
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What we do-
CONTRACTING WITH MANAGED CARE ORGANIZATIONS AND HEALTH PLANS
Physicians’ Care Networks negotiates with managed care organizations (MCOs) and health plans for fair and competitive contracts and supportive provider relations. By executing onecontract with PCN and maintaining one credentials file, a PCN physician gains access to multiple contracts. And since the MCOs can execute one contract with PCN and gain access to the 620+ credentialed physicians who participate in PCN, we are confident that we have fair and balanced contracts.
Our local staff works closely with contracted MCOs to ensure supportive provider relations. In the event there is a patient care issue or a claims payment issue, PCN will act as a liaison for our physicians.
We’ve included a list of MCO contracts we have negotiated for our members. View List. For more information about these and other contracts in the negotiation process, contact the staff at Physicians’ Care Network at: (352) 371.9999.
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DEEP DISCOUNTS ON SERVICES
We endeavor to use the purchasing power of the organization to negotiate deep discounts on services and supplies you use every day. We currently have contracts with eight companies that cover just about any supply or service you need.
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A BRIEF HISTORY OF PHYSICIANS' CARE NETWORK
| 1993 - |
Paul Rusinski, MD (Emergency Med) conceived the idea of starting an IPA. |
| 1993 - |
Idea presented to Alachua County Medical Society; concept was presented locally and was well received; Bob Casey, MD (Family Practice) was the first physician to sign up, followed by 200 other Alachua county (Region # 3) physicians. Executive Director was appointed and first office opened in the historic Seagle Building in Gainesville, Florida. |
| 1995 - |
First network access contract with PPO. |
| 1996 - |
First risk contract with HMO; contract with Phycorp for third party administrator services. |
| 2000 - |
Phycorp contract terminated by FIPA; Med3000 contract executed. |
| 2001 - |
FIPA # 3 10,000 covered lives; annual revenue of $7.2 million. |
| 2001 - |
InfoSource, an on-line resource for insurance verification, claims status and referral processing is made available to members. |
| 2001 - |
Kimberly Kauffman appointed PCN Executive Director . |
| 2002 - |
IPA contract with Group Purchasing Services to make group purchasing rates available to members. |
| 2002 - |
IPA contract with ClientTell to make patient appointment reminder service available to members. |
| 2002 - |
Physicians' Care Network maintains two HMO contracts, covering more than 20,000 lives. |
| 2003 - |
Executive Committee created to assist in Ad-hoc issues. |
| 2003 - |
IPA contracts with single payor PPO. |
| 2004 - |
IPA contracts with multipayor PPO. |
| 2005 - |
IPA contract with national PPO. |
| 2006 - |
IPA contracts with one Medicare Advantage plan and one Medicaid managed care plan. |
| 2007 - |
IPA contracts with two Medicare Advantage plans and partners with Health First Network (another IPA based in Pensacola) to develop Patient Care First Network for Medicaid contracting. |
| 2008 - |
IPA contracts with Medicare Advantage plan and develops partially self funded group insurance options for member physicians as employers. Physicians' Care Network contracts with eight health plans, covering more than 40,000 lives. More than 550 credentialed physicians are members of PCN. |
| 2009 - |
Negotiated an exclusive professional liability insurance program with FPIC that provides a 25% discount on the base rate for PCN members and a claims-free discount up of up to an additional 25% savings. |
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