PHO Contracts


OhioHealth Group (OHG) negotiates clinically integrated contracts on behalf of all Health4 physicians. OHG is committed to this contracting model because it demonstrates value – high quality and efficient delivery of patient care – to payers and patients.

 
Benefits of Health4 Contracts
  • Incentive programs offering opportunities for additional compensation, such as Pay for Quality (P4Q) and Total Cost of Care/Shared Savings
  • Proactive analysis of each payer’s fee schedules at the beginning of each year to ensure physicians are paid the correct contracted rates
  • Contractual support, including issues related to contract language, claims, precertification, appeals and demographic updates
  • NCQA certified credentialing and re-credentialing, including communication of credentialing updates to contracted payers on physicians’ behalf

  

Current Health4 Contracts
  • ChoiceCare
  • Cigna
  • First Health (includes Coventry)
  • HealthSmart (includes AHPO, Emerald and Interplan)
  • Humana Medicare
  • Meijer
  • OhioHealthy (HealthReach Preferred)
  • Ohio Health Choice
  • Zelis Healthcare (formerly Stratose; includes Ohio Preferred Network [OPN])

  

Health4 practices can view detailed information about these contracts, including Administrative Rules, Fee Schedules, contract effective dates and annual inflators, by logging in to the website.

  

Need help or more information? Click here to contact a contracting representative.
For information about Credentialing Services, please click here.
 

Check out our Health4 Program. You must be a registered member to access this information.

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