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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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
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