
Who we serve and service offerings
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Payors
»Claims & Trend Analysis
»Financial & Actuarial Support
»Medical & Pharmacy Dashboards
»Technology Assessment
»Data lifecycle evaluation & implementations
»Provider Contracting Evaluation -
Provider Networks
» Hospital & HealthCare Systems
» Multispecialty Clinics
» Value Based Care
» Technology Assessment
» Data lifecycle evaluation &implementations -
Sub-contracted Vendors
» Assess operational readiness
» Support development of program fundamentals
» Provide strategic advisory services to help the vendor grow from initial funding stage to prepare selling to health plans
» Develop necessary analytics for possible ROI studies
» Contract support and negotiations for VBC and risk sharing arrangements -
Medicaid
» State rate advocacy
» Trend drivers
» Comparison of state rates to plan rate cells
» Proformas
» Comparison of proformas to actual experience with total cost of care opportunities -
Medicare
» Medicare Bids, Part D Assessment & Support
» Operational Compliance
» Risk Revenue Capture
» Stars Rating -
Tech Assessment
»Technology Assessment