Expertise

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CHCN is widely recognized as a uniquely efficient model for community health centers to organize managed health care delivery. Owned and operated by our member community health centers, CHCN shares resources for many managed care functions. For example, HMO contracting and utilization management are centrally conducted by CHCN.

CHCN currently holds full professional risk managed care contract with Alameda Health Alliance on behalf of our member health centers. We provide managed care services to approximately 195,000 Medicaid patients. As a fully integrated managed care network, CHCN provides all managed care business functions: HMO contracting for our member health centers, primary care contracting, specialty care contracting, utilization management, membership reporting, quality improvement services, claims adjudication, capitation payment, centralized credentialing services, managed care information technology services, and financial data reporting.