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.

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

Primary care practice focus

decreases referrals by over 7%

compared to high-volume practices

337,500 - 500,000

member lives influenced
through Citadel’s network

Primary care physicians influence

70%+

of downstream costs

Primary care physicians influence

90%

of downstream costs and 70% of referrals

225+ system-agnostic primary care physicians directing

$2.7B

 annual downstream spend

Investing in primary care results in

13x savings

in downstream spend

Independent providers average

5.8% lower

cost per member
than system-affiliated physicians

Save up to 150%

on services like surgeries by referring members to system-agnostic facilities

Patients enrolled in Citadel’s DCM program

40% lower

medical spend

Citadel’s DCM program

lowers emergency room utilization by 70%

compared to competitor programs
Reduce hospitalizations by

nearly 10%

with Citadel DCM program follow-ups

Reduce ER visits by

5.2%

with Citadel DCM program follow-ups

System-Agnostic Primary Care

High-Performance Practices

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 member and the payer.

By remaining independent, these 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: 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. 

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