As health plans face growing pressure to scale, adapt to new regulations, and enter competitive markets, many leaders find themselves asking the same question:
Is our current contracting model still working for us—or is it starting to work against us?
At Provider Partnership, we work with organizations of all sizes and maturity levels. Whether you’re just starting to build out a value-based care strategy or managing multiple provider networks across state lines, one thing is clear: your contracting approach needs to evolve with your organization.
Here are five signs that it may be time to rethink your current model—and consider the benefits of bringing in external support.
1. You’re missing deadlines—or barely meeting them
When your internal team is operating at full capacity, any shift in timelines or resource availability can cause major setbacks. We’ve seen health plans face regulatory fines, delayed launches, or broken provider relationships simply because the contracting queue became too long to manage.
If your deadlines are slipping or your team is constantly in triage mode, that’s a strong signal your internal model isn’t scalable.
2. You’re expanding into new markets with limited visibility
Entering new geographic or product markets introduces unfamiliar provider landscapes, adequacy requirements, and compliance standards. Internal teams often lack the bandwidth or local insights to manage this efficiently.
By the time you build internal processes to support a new market, you may already be behind.
A strategic partner can provide the execution power and regional insight you need to move faster—with less risk.
3. Contracting and credentialing are siloed
Even the best teams struggle when functions like contracting, credentialing, and legal review operate in isolation. Without streamlined coordination and project management, provider onboarding can slow to a crawl.
If your departments are working in parallel without alignment, delays and duplication are inevitable.
You don’t need more meetings—you need centralized oversight and integrated workflows.
4. Compliance risks keep surfacing
Healthcare regulations vary by state and are constantly evolving. If your organization is spending too much time retroactively addressing compliance concerns, it’s a red flag.
We’ve helped clients reduce regulatory delays by up to 40% through proactive legal coordination and audit-ready documentation from day one.
Compliance shouldn’t be something you react to—it should be something you build into the process.
5. You’re spending more time managing processes than driving strategy
Your internal experts should be focused on long-term growth, innovation, and provider relationships—not buried in contract redlines, status updates, or outdated tracking tools.
When strategic leaders are pulled into tactical firefighting, it signals a gap in execution support.
Outsourcing isn’t about replacement—it’s about rebalancing your team to focus on what they do best.
Why Partnering with the Right Team Matters
At Provider Partnership, we’re more than consultants—we’re your execution partners. From provider contracting and network development to credentialing and project management, we bring clarity, speed, and structure to your most complex initiatives.
Our model is built for flexibility. Whether you need short-term support during peak load or a long-term solution to scale sustainably, we plug in where you need us most—with measurable results.
Ready to Rethink Your Approach?
If you’re feeling the strain, you’re not alone—and you’re not stuck.
Let’s talk about how we can help you contract faster, stay compliant, and scale your network with confidence. Contact us!
