RadNet participates with major healthcare plans in the market, including Medicare, Medicaid/MediCal, workers’ compensation, preferred provider (PPO), exclusive provider (EPO), point-of-service (POS), health maintenance (HMO), personal injury liens, and health exchanges. We are a total imaging solution partner, with proven results in appropriate utilization, coordinated care, clinical outcomes, and operating efficiency. Here’s how we keep our health plan solutions flexible and effective:
Flexing—On Cost & Coverage
We create strategic alignments even beyond our national base of imaging centers. Quality and cost stay consistent while interacting through one provider.
Care begins at the front door. We provide full outpatient imaging services, with wide coverage and longer hours, for our patients. Many centers deliver care in multiple languages.
Where Quality Meets Cost
We know how to move referrals from costly hospital outpatient settings to cost-effective free-standing outpatient imaging centers.
As part of our commitment to managing costs, we educate referring providers regarding medical necessity and appropriateness criteria.
RadNet promotes evidence-based medicine to improve quality and patient safety, which impacts long- and short-term costs.
Our expert-staffed Utilization Management division processes nearly 300,000 referrals annually.
Population Health & Capitation
RadNet provides exclusive managed care capitation arrangements with prominent medical groups and Independent Physician Associations (IPAs). We have established both partial and full risk capitation arrangements.
RadNet has two million covered lives managed through many separate relationships. We are in the best position to provide imaging services in line with population health goals.