You can become an even more excellent person by constantly setting higher and higher standards for yourself and then by doing everything possible to live up to those criteria.

Membership Benefits

Knowledgeable CGHN Staff Support & Education

 

Provider Education & Provider Relations

  • CGHN employs experienced staff whose primary responsibilities include establishing and maintaining relationships with the physicians, groups, hospitals and ancillary providers.

 

Shared Savings Programs

  • CGHN participates in a variety of shared savings programs, including Medicare Advantage, Medicaid CMO, and Commercial plans. These agreements are primary care based and incentives are earned based upon HEDIS measures.

 

Delegated Credentialing

  • CGHN’s credentialing coordinators are CPCS certified through the National Association of Medical Staff Services. CGHN is certified with the National Committee for Quality Assurance (NCQA) in credentialing and re-credentialing. With CGHN’s delegated credentialing, providers complete one credentials application for all contracted payors. CGHN’s credentialing process meets NCQA, CMS, and individual health plan requirements.

Clinical Integration/Quality Reporting

  • CGHN members are clinically integrated and strive to improve quality of care by meeting and exceeding quality benchmarks, reducing and controlling the cost of care by providing the right level of care at the right time, and improving access to care and the overall patient experience.

Online Fee Schedules

  • Providers have 24-7 online access to reimbursement fee schedules through CGHN’s v-Elect program.

 

 

Access to Managed Care Contracts

 

CGHN contracted payers:

  • Aetna - Commercial and Medicare Advantage

  • Alliant

  • Amerigroup

  • Blue Cross Blue Shield - Commercial and Medicare Advantage

  • CareSource

  • Cigna 

  • Clover- Medicare Advantage

  • Coventry/First Health- Commercial and Medicare Advantage

  • EON

  • Georgia Health Advantage- Medicare Advantage ISNP

  • Humana - Commercial and Medicare Advantage

  • Industry Buying Group 

  • Kaiser 

  • NovaNet 

  • Optum VA CCN

  • Peach State

  • PHCS/Multiplan/Beechstreet 

  • Pruitt Health – SNP

  • Secure Health Plans

  • Three Rivers Provider Network 

  • United HealthCare - Commercial and Medicare Advantage

  • WellCare- Medicare Advantage

 

Group Purchasing Discounts

Discounted premiums through Group Malpractice Programs

  • Mag Mutual

  • Trinity Risk Advisors

 

Discounted prices through Group Purchasing Program

  • Provista Supplies, services, and capital equipment

 

Discounted prices with Job Placement Service

  • Crosby & Associates, LLC:

                

Discounted Wellness Center Membership

  • Navicent Health

 

Discount with IT Service Providers

 

 

 

 

 

 

 

 

 

 

MACRA/Risk Adjustment Education and Improvement Services

  • Successful Health and Wellness Solutions

 

Contact CGHN for additional information on either of these offerings. 478-832-6134