Services

Transforming Healthcare Systems

Support the development of operating, contractual, and financial models for healthcare systems and community-based services to improve care coordination, strengthen primary care, and enhance linkages to organizations that support health-related social needs.
Develop infrastructures and systems to support healthcare systems, hospitals, and primary care practices in their ability to improve care management and better address chronic disease, behavioral health, and other conditions.
Assess and develop financial models involving incentives to improve beneficiaries’ population health and health equity outcomes.
Develop community service networks and linkages to address health care disparities through stronger coordination across health care providers, payers, and community organizations in participating states or regions.

Facilitating the development of coordinated care networks to ensure seamless patient experiences across the care continuum.
Support creating strategic partnerships between hospitals, institutional providers, post-acute care providers, and community-based organizations.

Strategy & Infrastructure Advice: Guidance on managed care strategy and infrastructure.
Best Practice Benchmarking: Insights into industry best practices.
Contract Analysis & Negotiation Guides: Analysis of contract language with negotiation tools.
Technology-Driven Solutions: Rate impact analysis, contract review, and tech
Tailored Implementation Plans: Strategies to increase net patient revenue and optimize long-term managed care strategies.

Strategic Transition Guidance: Assisting organizations in transitioning from volume-based to value-based care models.
Performance Improvement: Implementing strategies to improve patient outcomes while controlling costs.
Quality Metrics & Reporting: Developing systems for tracking and reporting on key performance indicators (KPIs) related to patient care quality and cost-efficiency.
Risk Management & Shared Savings Programs: Advising on risk-sharing arrangements and optimizing participation in shared savings programs to
maximize financial returns.
Patient Engagement Strategies: Enhancing patient engagement and satisfaction through personalized care plans and health management strategies.

ACO Readiness & Strategy Development: Comprehensive support from readiness assessment to strategy implementation for accountable care organizations.

Integrated Care Models: Support for the transition to integrated delivery models (e.g., ACOs, bundled payments).
Care Continuum Development: Enhancing patient care continuity for improved health outcomes, patient experiences, and cost reductions.

Innovative & Real-World Approaches: For strategic planning and implementation.
Execution Plans & Strategy Maps: Detailed plans with KPIs and accountability for successful strategy execution.

Operational Benchmarking & Optimization: Evaluation and enhancement of revenue cycle processes, technology, and controls.
Enhanced Cash Flows: Implementation of leading practices for sustainable revenue improvements.

Comprehensive Assessments: Thorough review of governance, strategic planning, operations, and more for informed investment decisions.
Risk & Reward Evaluation: Assistance in evaluating the potential risks and benefits of transactions.

Comprehensive Legal Support: Expertise in discovery, data mining, case assessment, and expert witness testimony.
Insightful Analysis: Benefiting from extensive experience in guiding organizations through complex legal challenges.

“Black Box” analyses provide a view into the financial impact of adopting various insurance payment rates by modeling historical frequency utilization data against proposed and historical reimbursement rate scenarios. This gives all stakeholders the visibility they require to assess the economics of mergers, acquisitions, and other strategic partnerships or arrangements, such as clinically integrated networks.