About Children's Mercy Pediatric Care Network:

Who We Are and What We Do
Medicaid Managed Care Administrative Services
PCN Annual Report 2022
PCN Annual Report 2021
PCN Annual Report 2020
PCN Annual Report 2019
PCN Annual Report 2018
PCN Annual Report 2017
Missouri PCN Network Providers
Kansas PCN Network Providers
Missouri PCN Provider Network
Kansas PCN Provider Network
PCN Service Area

How does PCN improve health care delivery? PCN offers:

Simplified administration and reduced fragmentation with health plans
•  standardized claim submission requirements
•  standardized payment policies
•  standardized utilization management policies (e.g. precertification requirements)
•  standardized credentialing process
Better population-based clinical tools and medical home support tools
•  Uniform model that doesn't force you to conform to multiple MCO models
•  Tools and resources for care coordination at the practice level
•  Health Information Technology tools (EMR, HIE)
•  Aggregated data for the pediatric population in the Kansas City area
Payment system reform
•  Transition from "volume based" payment with constant pressure on unit cost and volume of services to "value based" payment through common structure
•  Opportunities for at-risk contracting, sharing savings, and other creative payment models
•  Aligned incentives with the hospital and other providers
Delegated health plan administration
•  Managed Care Organizations (MCOs) delegate certain administrative functions to us including medical management, provider credentialing, and disease
   management programs. PCN uses a team-based approach to reduce barriers, export resources and expertise from Children's Mercy, and support patient-
   centered medical homes for the providers in our network.