Common Goals
Create Common Bonds

95%

Provider Retention Rate



22+

Years of Experience


10k+

Provider Network

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A Category of One

Since 1999 Health Network One has been pioneering approaches to managing provider networks under full risk, while ensuring health plan member satisfaction and long-term provider retention. We help produce a rare win-win-win that’s only possible through our distinctive combination of talent and technology.

With deep expertise in managed care, we are a recognized healthcare leader with twenty client relationships and five million covered lives spanning several states and Puerto Rico. Through our unique model, our mission is to enhance the capabilities of managed care organizations and providers to deliver timely and efficient care.

What Makes Us Different, Makes Us Better

We embrace the entirety of the value chain between the health plan and the provider. While they are on opposite ends of the continuum, we serve both with equal care and clarity. This bi-directional commitment is rare; it affords our contracted providers unprecedented, hands-on engagement and rewards our health plan customers with hands-off management and world-class results.

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Networks

We operate several specialty provider networks, including outpatient therapy (PT/OT/ST), ophthalmology, and dermatology. While each network is unique, they share common themes such as clinical excellence, broad member access, and alternative reimbursement models for providers – creating alignment with our health plan customers’ goals.

High Touch, High Tech

Our health plan clients typically delegate to us Utilization Management, Credentialing, Claims, and Network Management. Our specialized teams, our NCQA accreditations, and our internal process – driven by the nuances of each specialty – ensure we are adept at exceeding the high standards we set for ourselves.

And those standards are only achievable with a single technology platform tmedichat seamlessly empowers provider self-service, authorizations, claims management, and performance reporting to providers, customers, and regulators. Our systems, and the performance they enable, is anything but off-the-shelf.

Medical Cost Savings

In managed care, a dollar saved is a dollar earned. Our approach is deeply valued, because our savings are not theoretical, they’re tangible and measurable. More importantly, they're guaranteed, because like our health plan customers, we accept clinical risk. This not-so-simple commitment aligns our goals with our clients’, driving us to address the entire value chain to close gaps and leverage efficiencies.

Poised for Growth

Health Network One is a trailblazer, driving guaranteed medical cost savings for many of the leading managed care organizations. For example, in Florida, one of the nation’s most advanced managed care markets, we operate its largest outpatient therapy network as well as its largest dermatology network. In addition, we operate the country’s oldest ophthalmology network.

Our growth is owed to deep customer loyalty. More than half our client relationships extend beyond a single market, line of business, or specialty – a clear testimony to the tangible value we deliver year over year. Likewise, our annual provider retention is 95%, supported by an experienced Provider Relations team and our provider-led Medical Advisory Committees in every state we operate.

Join us, as we continue to expand our reach and impact.

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