| Managed Care Strategy and Contracting |
| |
With more than twenty years of experience in
managed care, we understand the technical and subjective
issues involved in health plan contracting. Using this knowledge,
we assist our clients to develop effective contracting strategies,
position for and capture the attention of buyers, and secure
beneficial rates and terms on health plan contracts. |
| Health Plan Management and Operations |
| |
With years of front line experience in health plan operations,
financial management, and government relations, we assist
health plan executives with business strategy, financial
analysis, network development, mergers and acquisitions,
regulatory filings, and departmental operations. |
| Executive and Financial Management |
| |
As medical groups, IPAs, and hospitals deal with reorganization,
changeover in senior staff, and steadily increasing reporting
requirements, it is essential to maintain strong CEO and
CFO leadership. We have years of experience in senior management
positions and consulting. We adapt services to clients’ needs
for interim CEO or CFO services or on-going advisory services. |
| Business Improvement Services |
| |
Business Improvement Services begin with a plan tailored
to meet the short- and long-term goals of the health business
enterprise. Improvement initiatives are modeled into the
business plan to focus management on measuring and managing
key targets. We take a two-pronged approach: improve revenue
and reduce expenses. As former executives with health plans,
physician organizations, and financial consultants, we have
hands-on experience in successfully executing business improvement
plans. |
| Independent Practice Associations and Contracting
Networks |
| |
As managed care specialists, we understand the divergent
perspectives of physicians, hospitals, and health plans and
know how to bridge these differences to structure and implement
new and effective relationships. We blend our industry knowledge
and years of practical experience to create effective solutions
for the problems of today. We work with our clients to establish
the levels of trust that are key to the long-term success
of these delivery networks. |
| Business Plans and Financial Feasibility Studies |
| |
We apply our knowledge and experience in market assessments,
financial management and operations to develop financial
studies that help our clients understand their current financial
position and test future performance under multiple scenarios.
We prepare business plans to assess market advantages for
new services, lay out capital and operating requirements
for a new venture, and test financial performance under alternative
scenarios. Feasibility studies are prepared for internal
use of board and management, as they evaluate their business
strategies, and for external use by bankers, rating agencies
and financing authorities. |
| Business Valuation Services |
| |
Business valuations establish value to support a wide range
of business transactions, including merger, acquisition,
affiliation, disposition, and litigation support damages
estimates, and personal matters such as marital dissolution.
Our knowledge of finance and extensive experience in the
healthcare industry provide a strong basis for preparing
objective business valuations. Our consultants maintain professional
qualifications, including designation as Accredited in Business
Valuation (ABV) from the American Institute of Certified
Public Accountants. |
| Financial Analysis |
| |
Business valuations establish value to support a wide range
of business transactions, including merger, acquisition,
affiliation, disposition, and litigation support damages
estimates, and personal matters such as marital dissolution.
Our knowledge of finance and extensive experience in the
healthcare industry provide a strong basis for preparing
objective business valuations. Our consultants maintain professional
qualifications, including designation as Accredited in Business
Valuation (ABV) from the American Institute of Certified
Public Accountants. |
| Litigation Support |
| |
Attorneys faced with litigation on complex
issues of healthcare finance and managed care call on us
for a range of litigation support and expert witness services.
These include business valuations, managed care contract
review, analysis of risk pool disputes, cost analysis and
damage calculations, and negotiations of professional service
agreements. Our findings and recommendations are substantiated
with detailed documentation that withstands the stringent
review of opposing counsel and judges. With strong professional
qualifications and experience, we serve legal counsel in
the role of expert witness. |
| Management and Advisory Services for Physicians |
| |
Our business development, marketing, and contracting services
add value to physicians’ practices. Operational assessments
and financial management are geared to improving practice
performance. Executive advisory services and compensation
planning are aimed at the long-term viability of the group
and its members. |
| Medicare Risk Programs |
| |
We have substantial experience in the organization, development,
operations, and government contracting for Medicare risk
contracts, in management of Medicare risk products, and in
working for large HMOs in Medicare risk programs. |
| Merger, Acquisition, Change of Ownership |
| |
We advise on the acquisition of physician
practices and ambulatory centers, hospital consolidation
and merger, and divestiture of healthcare business enterprises.
We bring potential partners together, prepare terms that
balance the interests of all parties, and facilitate discussions
to successfully conclude change of ownership transactions. |
| Management Services Organizations (MSOs) |
| |
As business management and operations
have become more complex, in response to managed care imperatives,
many medical groups and independent practice associations
have formed or contracted with dedicated management groups
to provide these services. |