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Children's Care Network Seeks Better Payer Data, Faster Credentialing and Protections During CMO Transitions
Summary
A leader of Georgia's largest pediatric clinically integrated network told the committee that payer data are often delayed, credentialing can take months and an upcoming CMO transition risks disrupting care; he urged contractual standards for timely notifications and oversight of payer transitions.
Dr. Brad Wesselman, representing the Children's Care Network, described a physician-driven clinically integrated pediatric network that serves roughly 965,000 children around Metro Atlanta and beyond. He said the network invests in population-health tools and has demonstrated improvements in preventive care and reduced hospitalization for asthma, but faces operational and payer-related obstacles that limit its ability to coordinate care.
Wesselman highlighted four…
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