Health plans today must balance network objectives with financial sustainability, compliance, and improving member experience. Achieving network adequacy while maintaining a competitive access advantage requires a strategic approach to engaging with providers, optimizing costs, and enhancing the quality of services. Successfully managing provider organizations while addressing financial considerations and quality considerations is crucial for long-term network success.
At AArete, we understand these challenges. Using market intelligence, data analytics, and implementation experience, we uncover gaps and opportunities to help you realize the identified benefits. Whether optimizing contracts, refining narrow networks, or executing a network build, we collaborate with you to develop high-performing, sustainable networks.
Our expertise spans alternative payment models (APMs) such as capitation, total cost of care, and single case agreements, while ensuring compliance with no surprise billing regulations. Through tailored provider contracting and provider tiering, we align networks with MLR, SAI, and MCR initiatives to optimize cost optimization and quality optimization while improving high-quality, low-cost networks. Additionally, our network filing solutions ensure compliance with time and distance requirements, supporting regulatory adherence and access requirements.
AArete Network Solutions Impact
140+ Plans
Served over 15 years across
all 50 states.
>$1B in Savings
Delivered through fee-for-service negotiations, network optimization and value-based contracting project implementations.
30+ Markets
Supported with new market development across all lines of business.
Aggregate metrics of 100+ network engagements between 2020-2025
Our Network Solutions Services
Value-Based Contracting
Our market intelligence and data analytics empower payers to adopt effective VBC strategies, from shared savings arrangements to full-risk models. AArete helps establish provider contracting strategies that drive efficiency while improving care outcomes. Our approach ensures provider incentivized strategic relationships, optimizing financial and clinical performance.
Network Strategy & Development
AArete assists with network strategy & development, ensuring high-performance provider networks that meet network adequacy and access advantage goals while maintaining cost optimization and quality optimization. Whether supporting network creation or refining an existing network, our solutions provide sustainable, data-driven strategies.
Fee-for-Service Contracting
For payers looking to strengthen their competitive advantage, we provide deep insights into unit cost reduction and network optimization. Our expertise spans ancillary provider contracts, physician contracts, and hospital provider contracts, ensuring financial sustainability and improved contract negotiations.
Network Sculpting & Redirection
Using advanced analytics, we perform network stratification to identify high-performing providers, optimizing broad networks and narrow networks to improve primary care providers (PCPs), specialists, and ancillary services. Our solutions create targeted network sculpting efforts, driving improved provider risk management and alternative payment models alignment.
Thought Leadership
Get in Touch
Empowering Payers to Drive Network Excellence
From network filing and compliance with time and distance requirements to refining provider tiering, narrow networks, and VBC strategies, AArete delivers data-driven insights and execution support to help you build sustainable, high-performing networks. Whether your focus is on network adequacy, network optimization, or reducing total cost of care, we work with you to achieve measurable improvements in provider performance and high-quality, low-cost networks.
Let’s navigate these challenges together—ensuring smarter networks, stronger provider organizations, and better outcomes for the members you serve.
