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MANAGED

CARE SERVICES

For IPA

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  • Provider Network Management 

  • Reporting Services 

  • Education Programs 

    • Clinical Documentation

    • Quality 

  • Healthcare Delivery Services 

  • Rigorous compliance with quality standards

  • Analytics and Health IT 

  • Cost Containment Programs 

    • Pharmacy 

    • Medical 

    • Inpatient

For Providers

 

  • Contract Risk Management 

  • Value Based Clinical Program Implementation  

  • Capitation and Special Agreements 

  • Revenue Cycle Management 

  • Certified Coders 

  • Quality Network Experts 

  • Practice Management Consulting Services 

 

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For Health Plans

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  • Clinical and Financial Dashboard 

  • Cost Containment Solutions 

  • Develop and Manage Provider Networks

  • Develop and Manage Clinical Programs 

  • PBM Audits

  • PBM RFI/RFPs , Formulary Design & Impact Analytics

  • Pharmacoeconomic CEA & Rebates Optimization Medicare Part D Bids & Compliance

For Hospital

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  • Billing and Collections Audits 

  • Medical Revenue Cycle Analysis 

  • Financial Planning Tools & Interfaces

  • Business Intelligence & Data Quality

  • Reporting Dashboard & Visualization Tools 

  • Pharmacy Cost Trend Management 

  • Value – Based Clinical Programs Implementations

  • Risk – Based & Reference Pricing Negotiations 

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