We have worked with hundreds of physicians across all specialties and primary care, making us leaders in healthcare consulting. Our expertise extends to employed physicians, IPAs, foundations, FQHCs, and clinically integrated networks. We understand how to engage providers in your value-based care programs and initiatives, including appro
We have worked with hundreds of physicians across all specialties and primary care, making us leaders in healthcare consulting. Our expertise extends to employed physicians, IPAs, foundations, FQHCs, and clinically integrated networks. We understand how to engage providers in your value-based care programs and initiatives, including appropriate compensation and risk adjustment performance. Additionally, we have spearheaded the integration of telehealth visits and artificial intelligence into workflows.
Our expertise in healthcare consulting focuses on optimizing risk adjustment performance and enhancing quality reporting, including HEDIS and Stars. We conduct an in-depth analysis of your data to devise strategies that target risk scores and each relevant measure. We also ensure that your IT Team is actively engaged and educated on data
Our expertise in healthcare consulting focuses on optimizing risk adjustment performance and enhancing quality reporting, including HEDIS and Stars. We conduct an in-depth analysis of your data to devise strategies that target risk scores and each relevant measure. We also ensure that your IT Team is actively engaged and educated on data integrity and governance. Finally, we verify that every data point is accurately accounted for to maximize reimbursement in a value-based care environment.
We understand the complexities of large health systems and the need for effective healthcare consulting. With experience as inpatient and outpatient administrators, we recognize that as healthcare shifts towards value-based care, there is an increasing focus on decreasing admissions and utilization. This shift includes providing more pers
We understand the complexities of large health systems and the need for effective healthcare consulting. With experience as inpatient and outpatient administrators, we recognize that as healthcare shifts towards value-based care, there is an increasing focus on decreasing admissions and utilization. This shift includes providing more personalized services to patients, such as in-home care. Let us assist you in improving both the patient and provider experience while effectively implementing appropriate utilization management and enhancing risk adjustment performance.
Healthcare is rapidly evolving and changing, leading to immense competition among vendors to develop the most ideal and compelling platforms. Provider groups are continually being acquired based on outcomes and long-term gains. Our healthcare consulting services support venture capital and private equity firms in better understanding the
Healthcare is rapidly evolving and changing, leading to immense competition among vendors to develop the most ideal and compelling platforms. Provider groups are continually being acquired based on outcomes and long-term gains. Our healthcare consulting services support venture capital and private equity firms in better understanding the healthcare landscape, particularly in areas such as risk adjustment performance and how to navigate which firms are positioned for growth in the realm of value-based care.
Served as managed care expert to a California health plan start-up focused on developing solutions including analytics, dashboards, product development and advisement services for Medicare, Medi-Cal and Commercial products.
Served as key advisor on the valuation and growth potential of a California IPA poised for acquisition. Identified key risks and opportunities through deep dive review of health plan contracts and existing processes. Provided relative RAF assumptions for geographic market and analysis of CMS Stars performance.
Optimized risk adjustment operations for a nationally recognized vendor. Attained 97% performance accuracy by stabilizing SLAs and instituting processes that decreased work redundancies by 70% in less than two months. Spearheaded new consulting arm of the digital AI-driven business to include value-based care solutions by identifying adjacencies to existing offerings.
Developed go-to-market strategies to transition an RPM device to an omnichannel digital solution with service offerings supporting Medicare Advantage, Medicaid and Commercial lines of business. Generated multiple campaigns targeted to health plans to address Medicaid redetermination, HRA completion, SDOH data capture, care management, and HEDIS and Stars performance.
Served as fractional Vice President to drive Medicaid HEDIS and Commercial ACA risk adjustment performance for a global digital service provider. Immediately identified $600k in additional revenue by instituting processes for pre-visit and post-visit workflows.
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