Payers

Driving Value Through Independent Primary Care

Citadel Health lowers the total cost of care by offering a trusted network of high-performing, health-system agnostic primary care providers, improving patient engagement, achieving sustainable MLR reductions, and optimizing referral patterns and site-of-care decisions.

We serve as a single point of contact for payers, enabling streamlined communication and coordinated implementation to reduce downstream medical spend and improve clinical outcomes.

Explore a Strategic Partnership

Primary Care:
The Most Powerful Cost-Control Lever in Healthcare

≈ 500K

patient lives influenced through Citadel’s network

Primary care patient management

decreases referrals by over 7%

Primary care physicians influence

70%+

of downstream costs

250+ health-system agnostic primary care physicians

$3.0B

downstream spend annually

Investing in primary care results in

13x savings

in downstream spend

Independent providers average

5.8% lower

cost per patient
than system-affiiliated physicians

Up to 150% savings

with system-agnostic service selection management

Patients enrolled in Citadel’s DCM programs have

40% lower

medical spend

Citadel’s DCM programs

lower emergency room utilization by 70%

compared to competitor programs

Reduce hospitalizations by

nearly 10%

with participation in Citadel DCM programs

Reduce ER visits by

5.2%

with participation in Citadel DCM programs

System-Agnostic Primary Care

Health-System Agnostic Primary Care

Driven by Outcomes, Not Health System Profits.

With a quickly growing system-agnostic network, Citadel Health ensures clinical decisions are made in the best interest of the patient and the payer.

By remaining independent, our network providers drive value and reduce costly referrals by shifting care to efficient, high-quality settings, not hospital-owned facilities with embedded fees.

Join a Network of 300+ Providers*

*Projected growth by end of 2026

How Citadel Partners With Payers

More than a network or organization: Citadel is a Georgia-based accountability partner that translates payer priorities into measurable practice-level performance.

  • Georgia-based practice transformation team takes responsibility for improving outcomes across practice partners:

Maximizing alignment by prioritizing payer quality measures, documentation standards, and performance benchmarks.

Actively reducing utilization without requiring payer intervention with Digital Care Management (DCM) programs, including CCM, RPM, and APCM.

Directly tying data-driven performance monitoring to payer quality goals.

Resolving credentialing, claims, and operational issues through executive-level payer relationships to ensure responsiveness and contract adherence.

  • Citadel has one of the most comprehensive contracting portfolios in Georgia, serving as a single source for a high-quality network of contracts, including:
  • Commercial
  • Medicare Advantage
  • Commercial Exchange
  • Medicare ACO
  • Medicaid
  • Gain full portfolio access across major lines of business under one accountable partnership.

Partner with Citadel to align independent primary care with measurable cost and quality performance. 

Connect With Us
Scroll to Top