Market and payer planning
Identify relevant payer targets, sequencing considerations, network conditions, and provider-type requirements.
Provider-side managed care
Build payer access into the facility plan—not after it.
Support for de novo facilities, acquisitions, additional locations, service expansion, and market entry across healthcare provider types.
Facility readiness
Operational readiness and payer readiness must advance together.
An opening date alone does not create patient access. Cypress helps leadership account for payer strategy early enough to support the facility’s clinical and financial plans.
The business problem
A facility can be clinically ready and operationally staffed while payer participation still blocks patient admissions. Contracting strategy needs to begin early, with expectations grounded in the provider type, geography, network status, credentialing requirements, and market.
Cypress’ experience spans numerous provider service types. Every engagement is carefully scoped to the specific objectives of the client, the market in which they operate, and any other variables expected to impact a successful outcome.
Where Cypress can help
De novo development Acquisitions New locations Geographic expansion Payer strategy Credentialing coordination Contract negotiation Participation confirmationA realistic path
What the work includes
Credentialing and contracting
Coordinate documentation, complete applications, follow up consistently, pursue agreements, and support negotiations.
Implementation follow-through
Support effective-date and participation confirmation so executed agreements can become operationally useful.
Truth before timelines.
Major plans may close networks because of saturation, depending on timing, geography, and provider type. Certain provider qualifications can also affect eligibility. For example, skilled nursing facilities generally need a CMS Star Rating of three or higher to qualify for Medicare Advantage participation.
Important: Health plans control credentialing, network participation, contracting decisions, and processing timelines. Cypress sets expectations from known conditions and experience; it does not promise an outcome controlled by a payer.