Managed Care Services Department

The Managed Care Services Department was created in October 2006 with the goal to position Swope Health Services as a preferred provider of health care services through the:

• Development, implementation and monitoring of multiple managed care organization contracts.
• Negotiation of appropriate reimbursement rates for medical services.
• Identification of new business opportunities to provide care for citizens in SHS service areas.
• Development and implementation of a centralized, contemporary credentialing and privileging process for SHS providers.
• Pursuit of arrangements to enhance SHS revenues based upon quality performance and optimal management of health resource utilization.
• Creation of a case management program to improve patient self management of chronic medical conditions.
• Development of tools to enhance SHS staff ability to efficiently process insurance billings.

For a complete list of insurances accepted at Swope Health Services, click here.