SPECIALTY CARE INFRASTRUCTURE
Specialty Access, Simplified
Connect your patients with credentialed specialty providers. Reduce costs. Stay compliant.
No acquisitions. No compliance risk.
Just expanded access.
Fully compliant specialty networks
Turnkey administrative platform
No acquisitions. No employed providers.
ADMINISTRATIVE EXCELLENCE
We handle credentialing, compliance, and coordination so you can focus on patient care.
Specialty care shouldn't mean choosing between compliance and access
340B covered entities face an impossible choice: acquire practices with massive capital costs and operational complexity, or refer patients out and lose specialty drug savings entirely.
Specialty drug costs are rising faster than reimbursements
Practice acquisitions require capital most organizations don’t have
External referrals mean lost revenue and fragmented patient care
A compliant third path
Nexwell creates the administrative infrastructure connecting your covered entity to independent specialty practices. You maintain 340B eligibility. Specialists remain independent. Patients get care. Everyone stays compliant.
Patient Impact
A rural patient
Who can now see an oncologist via telehealth instead of driving 3 hours.
An FQHC patient
Who gets rheumatology care they couldn’t access before.
A safety-net hospital
that expanded specialty services without hiring a single new physician.
How It Works
Nexwell provides the administrative backbone for 340B specialty networks. We handle the operational complexity so you can focus on patient care.
Network Access
Network Access
We build and maintain a credentialed network of independent specialty providers in oncology, rheumatology, ophthalmology, gastroenterology, cardiology, pulmonology, and other high-cost specialties. Each provider is screened, credentialed, and monitored for compliance.
Referral Coordination
Referral Coordination
Our platform matches patients with appropriate specialists based on clinical needs, geography, and insurance coverage. We track referrals from request through completion and facilitate the return of consult notes to your referring providers.
340B Compliance Support
340B Compliance Support
We maintain the documentation, audit trails, and eligibility verification systems that keep your program HRSA-ready. Our compliance team conducts ongoing monitoring, exclusion screening, and risk assessments.
Telehealth Integration
Telehealth Integration
When geography limits access, we coordinate telehealth services through compliant arrangements that meet "under arrangements" requirements and state-specific regulations.
WHO WE SERVE
Built for healthcare organizations
Critical Access Hospitals
Your patients need specialty care they can’t get locally. Nexwell connects them to credentialed specialists without the cost and complexity of practice ownership.
DSH Hospitals
Shrinking margins demand new revenue strategies. Nexwell helps you capture specialty drug savings through a compliant network model.
Federally Qualified Health Centers
Your patients need specialty care, but referrals leave your network. Nexwell keeps them connected to credentialed specialists who understand your mission.
Specialty Practices
Independent specialists seeking eligible patient populations can join our network while maintaining full clinical autonomy and practice independence.
OUR PRINCIPLES
Our Approach
We provide administrative, technology, and compliance services that support your existing 340B program.
Nexwell is not a pharmacy. We do not dispense medications, influence prescribing decisions, or direct clinical care.
All referral decisions remain with your licensed healthcare professionals based on their independent medical judgment.
Our fee structure is fixed, transparent, and determined in advance.
Compensation is based on fair market value for administrative services and does not vary with referral volume or 340B savings generated.
We coordinate. We document. We ensure compliance.
You practice medicine.
MSO Services
Clinical Partner Support
Platform Access
Web-based referral coordination, eligibility verification, and documentation management. Real-time tracking from referral request through appointment completion.
Dedicated Account Management
A named contact who knows your facility, your patient population, and your compliance requirements. Quarterly performance reviews and ongoing support.
Compliance Infrastructure
Monthly exclusion screening, credentialing verification, and audit-ready documentation. Annual compliance training for your staff on 340B requirements, HIPAA, and fraud and abuse laws.
Quality Monitoring
Performance metrics for network providers including access standards, referral completion rates, and documentation timeliness. Corrective action processes for underperformance.
SERVICES
How We Support Your Organization
Network Access and Referral Coordination
Nexwell maintains a credentialed network of independent specialty practices across multiple clinical specialties. Each provider enters a written participation agreement requiring compliance with healthcare regulations, professional liability insurance, credentialing standards, and documentation requirements.
When your provider makes a referral, our platform matches the patient with an appropriate specialist based on clinical specialty, geography, insurance acceptance, and appointment availability. We schedule the appointment, track completion, and facilitate the return of clinical documentation to your referring provider.
This is referral coordination, not referral direction. Your physicians make the clinical decisions. We make sure the administrative pieces connect.
340B Program Compliance
Nexwell supports your 340B program with patient eligibility verification, documentation standards, and auditable record-keeping. We maintain your Medicaid carve-in/carve-out status, manage claims identifiers, and keep your payer lists current.
When HRSA audits happen, we help you respond. When manufacturer inquiries arrive, we coordinate data delivery. When compliance issues emerge, we work with you on corrective action.
Our goal is a 340B program that survives scrutiny and keeps generating value.
Credentialing Support
Every network provider undergoes primary source verification of medical licenses, DEA registrations, board certifications, and malpractice coverage. We screen monthly against the OIG exclusion list, SAM, and state Medicaid exclusion databases.
If we identify an exclusion or credentialing deficiency, we notify you within two business days and immediately cease referring patients to that provider.
No gaps. No surprises.
Telehealth Coordination
Nexwell negotiates and manages telehealth service agreements on your behalf. We ensure arrangements meet "under arrangements" requirements, comply with state licensure rules, and satisfy 340B eligibility criteria.
Your patients get remote access to specialty consultations. You maintain compliant program capture. We handle the contracting complexity.
Quality Assurance
Nexwell establishes performance metrics for every network practice: patient access standards, referral completion rates, documentation timeliness, patient satisfaction. We conduct periodic quality reviews and report trends quarterly.
When practices underperform, we address it through corrective action. When patterns emerge, we analyze root causes. When your leadership needs data, we provide it.
ABOUT
Who We Are
Aligned with Your Practice
Nexwell Health Partners was founded to solve a structural problem in 340B specialty care. Covered entities have the legal authority to capture savings on specialty drugs. But without owned practices or compliant referral networks, that authority generates no value.
Practice acquisitions require capital most covered entities don't have. Employed provider models create operational complexity. Contract pharmacy restrictions have closed the traditional pathway.
Nexwell creates a third option: administrative infrastructure that connects independent specialists to 340B covered entities without practice ownership, without employed provider relationships, and without compliance ambiguity. We are not a pharmacy, a drug wholesaler, or a clinical provider. We deliver administrative, technology, and compliance services. Our clients keep their 340B registration. Specialists keep their independence. Patients keep their access to care.
Our Model
Nexwell operates as a management services organization. We provide the administrative middle that connects two sides of a network.
On one side: healthcare organizations seeking specialty drug savings and expanded patient access. Critical access hospitals, DSH facilities, FQHCs, and other eligible organizations.
On the other side: independent specialty practices providing high-quality care in oncology, ophthalmology, rheumatology, gastroenterology, and other specialties. We build the network, maintain the compliance infrastructure, and coordinate the referrals.
Clinical decisions stay with clinicians. Administrative execution stays with us.
Compliance by Design
Every Nexwell engagement is structured for regulatory compliance from day one.
Our management services agreements satisfy the Stark Law personal services exception. Our fee structures fit the Anti-Kickback Statute safe harbor for management contracts. Our 340B procedures follow HRSA guidance. We maintain the documentation, conduct the screenings, and keep the records that demonstrate compliance.
When regulators ask questions, you have answers.
FOR HOSPITALS
Specialty Solutions for Hospitals
your drug pricing program captures value on primary care prescriptions. But specialty drugs represent 60% of total 340B purchases nationally. If your specialty referrals leave your network, those savings leave too.
Nexwell helps hospitals capture specialty drug savings without the complexity of practice ownership.
For Critical Access Hospitals
You serve rural populations with limited local specialty access. Nexwell connects your patients to credentialed specialists through coordinated referral pathways and telehealth arrangements. No capital investment. No employed provider overhead.
For DSH Hospitals
Federal DSH payment cuts are squeezing margins. Nexwell helps you offset those reductions by capturing specialty drug savings you're currently forfeiting. Our fixed-fee model means predictable costs against measurable returns.
For Safety-Net Systems
Your mission is serving vulnerable populations. Nexwell extends your capacity into specialty care without diverting resources from primary care services. Your 340B savings continue funding your community health mission.
How We Work with Hospitals
We start with an assessment of your current specialty referral patterns. Where are patients going? What drugs are being prescribed? What's the 340B opportunity cost?
Then we build the network. We identify independent specialists in your service area, credential them, and contract them into the Nexwell network. We configure the platform for your workflows and train your staff.
Once operational, we coordinate referrals, monitor compliance, and report performance. You maintain oversight. We handle execution.
FOR FQHCs
Expanding Specialty Access for Community Health Centers
Specialty Care for Your Patient Population
FQHCs provide primary care to underserved populations. But your patients need specialty care too. Oncology, ophthalmology, rheumatology, cardiology. When those referrals leave your network, patients face access barriers and your 340B program loses value.
Nexwell helps FQHCs extend their reach into specialty services.
Our network includes independent specialty practices committed to serving 340B patient populations. We coordinate referrals, verify eligibility, and ensure documentation flows back to your primary care providers. You keep your community health focus. Your patients get specialty access. Your 340B program captures the savings.
Built for FQHC Operations
We Understand FQHC Compliance
Sliding fee scales
Scope of project
HRSA oversight
Board governance
Simplified Integration
Nexwell's services integrate with your existing operations without creating new compliance burdens.
Fixed-fee pricing is transparent and predictable
Compliance infrastructure is HRSA-ready
No added operational complexity
You have enough complexity. We don't add to it.
FOR SPECIALTY PRACTICES
Join a Network Built for Independence
Nexwell connects independent specialty practices with 340B covered entities seeking quality specialty care for their patient populations.
You maintain your clinical autonomy. You keep your practice independence. You gain access to patient populations who need your expertise.
What Network Participation Means
You receive referrals from covered entities through Nexwell's coordination platform. You provide specialty care to those patients according to your clinical judgment. You document the encounter and transmit consult notes back to the referring provider.
You are not employed by Nexwell or the covered entity
You are not restricted in your prescribing decisions
You are not subject to clinical oversight from non-clinicians
What We Require
Current licensure and board certification
Professional liability insurance
Compliance with credentialing standards
Monthly exclusion screening
Documentation timeliness
Quality participation
What You Get
Access to 340B patient populations
Referral coordination services
Administrative support
Quality feedback