Providing Management Services for More Than 25 Years
Northeast Physician Hospital Organization (NEPHO) is a for-profit organization, jointly and equally owned by Northeast Hospital Corporation (50%) and New England Community Medical Group (50%). Currently, NEPHO is comprised of 314 participating physicians (54 PCPs and 260 Specialists) and 2 hospitals (Beverly Hospital and Addison Gilbert Hospital).
The purpose of NEPHO is to provide management services including contract negotiation and management of pay for performance and other risk contracts on behalf of our owners, New England Community Medical Group and Northeast Hospital Corporation. NEPHO provides tools, resources and support necessary to manage the provision of quality care effectively and efficiently in the office, community and inpatient settings. The PHO manages contracts for approximately 60,000 covered lives.
Following are key functional areas of NEPHO:
- Administrative Services
- Case Management
- Clinical Documentation Improvement
- Contract Negotiation and Management
- Financial and Utilization Reporting
- Medical Management
- Patient Experience
- Provider Relations
- Provider Enrollment
- Quality Performance
- Referral Management