Member Benefits

Member Benefits

OhioHealth Clinically Integrated Network Member Benefits

We care for your practice, so you can care for patients

Your success is the measure of our success, so we strip away the hassles and replace them with resources that help you deliver a higher standard of care. 

You have a voice

We support our members by protecting the most important relationship of all – the one you have with your patients. Our physician-led governing committees ensure that decisions are guided by people directly involved in delivering care. You’re also surrounded by a team of associates who have spent their careers helping providers navigate the business of running a practice. They are your constant advocate, and will help you understand exactly what you need to do to be successful in the network.

Your leaders

Jim O’Brien, MD
Vice President, Operations, Population Health

Kathy Spencer
Director, Credentialing

Sherry Voet, MD
Medical Director, Quality

Dan Polonia, MD
Associate Medical Director

Chris Esber, MD
Associate Medical Director

Brad Lisko, MD
Chair, Leadership Council

Jenn Lingenfelter
Director, Value Services Organization

Lauren McKown
Director, Medicare Operations

Your support team

Physician Relations
Contact your assigned representative directly, or email PRMGSupport@OhioHealth.com.

Contracting
Randall.Schleppi@OhioHealth.com | (614) 566-0173

You have support

Simplified contracting

When you join the network, the burden of contracting on your own is lifted by the experienced team at OhioHealth. We contract with payers on your behalf, negotiating clear and consistent goals for quality and affordable care. Our Contracting team will also support you with any issues related to contract language, claims and demographic updates.

Current Contracts
  • Aetna (Commercial and Medicare Advantage)
  • Anthem (incentive only)
  • ChoiceCare
  • Cigna
  • First Health (includes Coventry)
  • HealthSmart (includes AHPO, Emerald and Interplan)
  • Humana (Commercial and Medicare Advantage)
  • Medical Mutual of Ohio (Commercial and Medicare Advantage)
  • OhioHealthy
  • Ohio Health Choice
  • United Healthcare (incentive only)
  • Zelis Healthcare (formerly Stratose; includes Ohio Preferred Network [OPN])

One-stop credentialing

We ease the credentialing process for payer contracts and OhioHealth hospitals, including reporting credentialing information and demographic changes to the payers for you. Contact OhioHealth Credentialing Services at (614) 566-0010 to credential new providers joining your practice. You can submit changes online at MyPractice.OhioHealth.com.

Care management

We’re leading the charge to create evidence-based guidelines and meaningful clinical interventions for clinically integrated network patients. It begins by piloting programs designed to reduce readmissions and inappropriate emergency department use, treat chronic conditions like chronic obstructive pulmonary disease and diabetes, and help patients effectively manage their medications. And when we achieve success, we scale best practices across the network.

Your guide through transformation

Patient and payer expectations are redefining value in healthcare. Our Practice Transformation team develops tailored plans to help you and your staff maximize your potential for traditional and value-based compensation, without sacrificing the quality of patient care.

Connected with purpose

Every practice in the clinically integrated network must have an interoperable method of sharing clinical information with the network. Interoperability syncs the different information technology systems and software applications used by providers across the network. This is how we exchange data, analyze entire patient populations, and pinpoint opportunities for meaningful programs and interventions. Our Physician Relations team will help you choose the best solution for interoperability. Many practices use OhioHealth Link, a web-based portal that allows access to OhioHealth CareConnect for continuity of care.

Events and education

We host regular networking and education events, which are free for members and your office staff. You can also find downloadable education materials and links to helpful information in the Resource Library in your Clinician Portal.

Join the network

If you’d like to contribute your talents to the OhioHealth Clinically Integrated Network, start the conversation by completing our interest form.