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	Wexford Mercy/Crawford Mercy PHO Wexford Mercy/Crawford Mercy PHO is a not-for-profit Physician Hospital Organization (PHO) established in 1993 and 1995 (respectively). The network membership consists of primary care physicians, specialists, two hospital systems and ancillary providers. The PHO currently contracts with PPO’s and Medicaid payors. The PHO is your source for payor contracting, UM/QM support, information, networking, payor support and advocacy in the healthcare industry. What is a PHO? A PHO (Physician Hospital Organization) is a vehicle that enables hospitals and physicians to work cooperatively toward accomplishing several objectives. Primary purposes for forming a PHO are developing improved methods of health care delivery; overseeing integration of physicians and hospitals into health delivery networks; assisting in voluntary group formation; and collecting, analyzing, and disseminating information. Secondary purposes include contracting with managed care organizations with joint risk sharing, developing standards of care, and building trust between hospitals and independent physicians. Advantages of a PHO Provide an organized approach for physicians and hospitals to work together on managed care issues, such as utilization management and quality improvement. Serve as a clearinghouse for certain administrative duties such as delegated credentialing and utilization management, thus, reducing the burden on the individual physician and hospital members. Collaborating with managed care companies. Establish reimbursement and risk-sharing approaches that align incentive among all physicians. Wexford Mercy/Crawford Mercy PHO Mission Statement The Wexford Mercy/Crawford Mercy PHO is an organization comprised of physicians in the community and the hospital and is responsible for contract negotiations relating to insurance, and community healthcare development for the physicians and the hospital. Wexford Mercy/Crawford Mercy PHO is a partnership of physicians and hospitals dedicated to balancing the needs of its members and the community marketplace that we serve. Wexford Mercy/Crawford Mercy PHO’s believe that quality care is cost effective and we are committed to improving the health status of our community. This is made possible through the education and integration of physicians, hospitals and ancillary providers. We are accountable to our managed care members for assuring quality care and patient satisfaction. Wexford Mercy/Crawford Mercy PHO Directory of Ancillary Providers Anesthesia Cardiology Ear, Nose & Throat Endoscopy Family Practice General Surgery Gynecology Internal Medicine Nephrology Neurology Obstetrics Oncology Ophthalmology Orthopaedics Pain Clinic Pain Management Pathology Pediatrics Physical Medicine Podiatry Psychiatry Pulmonary Care Sleep Clinic Urology Wexford Mercy/Crawford Mercy PHO Hospitals Mercy Hospital — Cadillac, Michigan Mercy Hospital — Grayling, Michigan Wexford Mercy/Crawford Mercy PHO Staff Victor Sztengel, Executive Director Phone: (231) 876-7859 Fax: (231) 876-7823 Email: sztengv@trinity-health.org Michelle Payne , Executive Assistant Phone: (231) 876-7139 Fax: (231) 876-7823 Email: mpayne@trinity-health.org Gerald Dudek, DO, Medical Director Phone: (231) 876-7152 Fax: (231) 876-7239 Email: gdudek@trinity-health.org Joan Kirk, RN, BSN, Quality Reviewer Phone: (231) 876-7362 Fax: (231) 876-7071 Email: kirkj@trinity-health.org Wexford Mercy/Crawford Mercy PHO Directories of Primary Care Physicians and Specialists Available upon request to members. The following specialties are members of WMPHO/CMPHO: Anesthesia Cardiology Ear, Nose & Throat Endoscopy Family Practice General Surgery Gynecology Internal Medicine Nephrology Neurology Obstetrics Oncology Ophthalmology Orthopaedics Pain Clinic Pain Management Pathology Pediatrics Physical Medicine Podiatry Psychiatry Pulmonary Care Sleep Clinic Urology Wexford Mercy/Crawford Mercy PHO Board & Committees WMPHO/CMPHO is governed by the following: WMPHO Board of Directors CMPHO Board of Directors Finance Committee Quality Committee Community Provider Relations Committee Contracted Networks Preferred Choices Health Risk Management (HRM) Health Preservation Network First Health Good Health Michigan (Medicaid) Fee Schedules Wexford Mercy/Crawford Mercy PHO’s have contracted payor fee schedules available for our contracted providers upon request by calling 231-876-7139. Events/Meeting Dates If you would like more information about future events or a meeting date, please contact WMPHO/CMPHO at 231-876-7139. Meetings are open to affiliate members or by invitation only. WMPHO Board Auditorium of Mercy Hospital Cadillac Third Wednesday of every month 7:00am CMPHO Board Crawford Room, Mercy Center, Mercy Hospital Grayling Second Wednesday every other month 7:00am WMPHO Community Provider Relations Committee Dublin Room, McAuley Center Mercy Hospital Cadillac First Wednesday every other month 8:00am WMPHO Quality Committee Mortimore Room, Mercy Hospital Cadillac Second Tuesday every other month 7:30am WMPHO/CMPHO Finance Galway Room McAuley Center, Mercy Hospital Cadillac As needed basis Why should I join Wexford Mercy/Crawford Mercy PHO? In preparation for the continued growth of managed care, (Commercial, Medicaid, and Medicare), the need to collaborate and collectively share in the risks and rewards of contracts becomes paramount. Additional benefits include greater physician involvement in policy making and local control of our destiny through Board and Committee participation development of clinical initiates. Membership Information Qualifications: A physician is a resident of Michigan, is in good standing with the Board of Medicine, has privileges with Mercy Hospital Cadillac or Mercy Hospital Grayling Affiliates requirements and fulfills requirements of the WMPHO/CMPHO credentialing and contracting process. For More Information Please contact us at: Wexford Mercy/Crawford Mercy PHO 400 Hobart St. Cadillac, MI 49601 231-876-7139 If you are a Mercy Hospital Grayling patient and have a compliment, concern, or complaint, please contact one of our Patient Liaisons. We welcome your comments and suggestions about this Web site.