About us

 

We prefer to talk about how we can work with you and together reach your goals and objectives.
However, a little “About Us” is in order so we can begin to create a lasting partnership.

FIVE STAR SOLUTIONS WITH FIVE STAR PLUS SERVICE

Provider Network Solutions Puerto Rico works as a business extension for health plans and physician practices. Our administration and staff are seasoned professionals with vast experience in health care trends, business operations and practice management.

FIVE STAR STANDARDS

Provider Network Solutions Puerto Rico sets itself apart with five star plus standards – going above and beyond government requirements, traditional ideas about alternative payment models, patient satisfaction and access to care.

Just as important, PNS’s team shares Five Star values:

We are committed to a higher level of detail in everything we do – that commitment guides all of the services that Provider Network Solutions Puerto Rico offers.

Today, when every dollar has to work harder, so does Provider Network Solutions Puerto Rico. Provider Network Solutions Puerto Rico works diligently to find innovative ways to provide our partners (health plans and physician offices) quality-driven, cost-effective, business solutions to meet their needs and business objectives.

FIVE STAR PLUS SERVICE

HEALTH PLANS

  • Attentive team of professionals eager to assist the Health Plan meet business objective
  • Clear understanding of the importance of quality care
  • Proactive team always looking at how Provider Network Solutions Puerto Rico “could do the work for you”
  • Provider Network Solutions Puerto Rico prides itself on being a service driven company – not only offering cost saving alternatives, but also a partnership; we all succeed together

HEALTH CARE PROVIDERS

  • Well educated, proactive and dedicated staff that supports our providers by offering effective and timely customer service experience
  • PNS promotes entrepreneurship by supporting the independent physician practices
  • Our management team continuously looks for ways to promote our network and our network providers at no additional cost to our providers

STAFF

  • Work environment that fosters innovative thinking
  • Inspire continual self-improvement
  • Promote teamwork
  • Offer professional growth opportunities

FIVE STAR VALUES

  • Innovative healthcare delivery systems
  • Effective network management
  • Strict adherence to quality standards
  • Promotion of CMS’ specialty-specific best practice guidelines (Center for Medicaid and Medicare Services)
  • Robust informatics and reporting capabilities

FIVE STAR LEADERSHIP TEAM/STAFF

Our team of accomplished and respected health care industry professionals sets the tone and standards for Provider Network Solutions of Puerto Rico (PNS PR). Our leaders consistently generate fresh ideas and approaches that add value to our Network Partners’ operations. Our management team is strengthened by an exceptional Board of Directors. Our board members possess expert knowledge in every sector of the healthcare industry. In fact, they are frequently sought by managed care plans for their valued opinions, expertise and proven strategies on cost containment, risk mitigation and quality management. The PNS PR team also includes medical peer committees that work with our Network Providers to promptly process the authorization to ensure that appropriate care is given to the patient and that best patient outcome is obtained.

FIVE STAR MANAGEMENT PHILOSOPHY

We believe that in order to sustain a viable business, we must lead with empathy and integrity, provide value to our customers by anticipating any possible issue and creating a resolution. We empower our staff to be innovative thinkers and encourage a team approach when solving issues. We embrace new technologies in support of our vision and stand behind our work at the end of the day.

A FIVE STAR PATIENT-CENTERED APPROACH

Provider Network Solutions Puerto Rico strongly believes in empowering the members of our health plan partners to make educated decisions when it comes to their health. Our network providers adhere to the CMS specialty-specific best practice guidelines (Center for Medicaid and Medicare Services) and use these guidelines to determine appropriate treatment, improve the delivery of care and enhance positive health outcomes. We encourage and support the Health Plan’s educational literature, promotional campaigns, initiatives and Disease Management Programs. Together, we all make a difference.

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