Your Advantages as a PPHP Provider

As an HMO I-SNP, Provider Partners Health Plan contracts with a network of high-quality healthcare providers in selected Maryland and Pennsylvania counties and Baltimore City. PPHP offers participating providers the following advantages:

  • Be part of a highly motivated, patient-centered team that cares about providing high quality care to our patients and that values keeping patients healthy through advanced electronic health record systems, shared protocols, care plans and care management.
  • 100% of Medicare Fee Schedule reimbursement
  • Work with local, hands-on leadership that understands the challenges and rewards of being a provider because we are providers ourselves.

Advantages For Hospitals

PPHP provides a host of advantages to its hospital partners, including:

  • Shorter lengths of stay
  • Reduction of potentially avoidable utilization for PQI diagnoses
  • Lower 30-day readmission rates
  • Communication from a local provider clinical team to keep you informed and provide coordinated care to patients
  • Prompt and accurate claims payment

Advantages For Physicians

PPHP offers many advantages for participating physicians, including:

  • A source of additional patients
  • A local provider clinical team that provides case management and care coordination in consultation with you
  • A provider-friendly pre-authorization process in which the long-term care facility obtains authorizations
  • Better quality of care and health outcomes for patients as measured by HEDIS scores and hospital use rates

Provider Partners Health Plan of Illinois is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Illinois Health Plan depends on contract renewal.
H8067_002_PPHPWEB CMS Pending

Provider Partners Health Plan of Maryland is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Maryland Health Plan depends on contract renewal.
H8067_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Ohio is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Ohio Health Plan depends on contract renewal.
H7119_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Pennsylvania is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Pennsylvania Health Plan depends on contract renewal.
H4093_001_PPHPWEB CMS Pending

Last updated 11/01/2018

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