Health Partners Lima Ohio: Understanding Cardinal Health Partners

Cardinal Health Partners, located in Lima, Ohio, operates as a vital Physician Hospital Organization (PHO). Established in 1996, it represents a strategic alliance between Care Ohio, Inc., a prominent Physician Organization, and Lima Memorial Hospital. This partnership structure forms the bedrock of Cardinal Health Partners, with both entities holding equal stakes and responsibilities.

At its core, Cardinal Health Partners streamlines healthcare operations for its network participants. Care Ohio takes charge of the crucial credentialing process for all practitioners within the PHO. Simultaneously, Lima Memorial Hospital assumes responsibility for contract negotiations with health plans and ensures seamless communication of essential provider information to these plans. This division of labor allows for focused expertise and efficient management of network operations.

Both partners actively participate in the ongoing administrative duties, including periodic reporting to health plans, a shared commitment to upholding NCQA (National Committee for Quality Assurance) standards and guidelines. This dedication ensures high standards of care and operational integrity within the network.

Currently, the Cardinal network encompasses over 340 practitioners, primarily serving Allen County and its adjacent counties. This broad network ensures substantial healthcare access within the region. While Cardinal Health Partners functions as a unified entity for network operations, both Care Ohio and Lima Memorial Hospital maintain their independent governance structures, each with separate Boards of Directors. However, there is an integrated approach with certain members of the Lima Memorial Hospital management and board also involved in Cardinal Health Partners’ oversight.

For those seeking detailed information, Cardinal Health Partners provides readily accessible resources.

Cardinal Contracts List

This link provides access to the Cardinal Contracts List, offering partners a transparent view of contractual agreements.

Fraud, Waste and Abuse Seminar presented in 2013

Partners can review a seminar presentation from 2013 on Fraud, Waste, and Abuse, reflecting the organization’s commitment to compliance and ethical practices.

A sample Compliance Plan is available upon request by contacting the Cardinal Health Partners Office directly at 419-998-4566. This proactive approach to compliance underscores their dedication to regulatory adherence.

Combatting Medicare Parts C & D Fraud, Waste, & Abuse

This link directs to resources from CMS (Centers for Medicare & Medicaid Services) concerning combating fraud, waste, and abuse within Medicare Parts C & D, offering further educational materials on compliance.

Payor Updates

Stay informed with the latest updates from payors by accessing the Payor Updates section, ensuring partners are current on relevant policy changes and information.

Cardinal Provider Information Change Form

Providers can utilize the Cardinal Provider Information Change Form to efficiently update their details within the network system.

Cardinal Locum Tenens Form

Board of Managers Meeting 2025 Schedule

Cardinal Contact Information

CAQH Update

Cardinal Health Partners emphasizes the importance of keeping provider information current, especially within the CAQH (Council for Affordable Quality Healthcare) system. Health plans are increasingly requiring up-to-date provider directories. To facilitate this, providers are encouraged to update their CAQH profiles and select the “Universal” option. This ensures that all contracted health plans can access the necessary information directly from CAQH, simplifying the data management process and improving directory accuracy across the board.

Important Note: The information provided on this site is for general informational purposes only and does not constitute legal advice. It is essential to consult with qualified legal counsel for advice tailored to specific situations and jurisdictions.

The Physician Finder tool available on the Lima Memorial Health System website includes all providers privileged at the hospital, which extends beyond just the participating providers within Cardinal Health Partners, Limited. This broader listing provides a comprehensive view of the medical professionals affiliated with Lima Memorial Health System.

Cardinal Health Partners continues to serve as a crucial link between physicians and Lima Memorial Hospital, fostering a strong healthcare network in the Lima, Ohio region.

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