Population Health/Care Management

Risk & Quality

Network & Payment Innovation

• Care management assessment
  • CM/DM/Wellness LOB (Commercial/Medicare/Medicaid)
  • Specific Program Development
• Utilization Management
  • Program Performance Analysis
  • Accountable UR
  • Prior Authorization Rules
  • Concurrent Review Models

• Risk Adjustment
  • RA Opportunity Assessment
  • RA Program Design
  • RA Tool Deployment
• STARS & HEDIS
  • Stars Strategy and Assessment
  • Stars Program Design and Roadmap
  • Stars Analytics
  • HEDIS Reviews & Performance Implementation Accreditations

• Network Management
  • Network Strategy
  • Tiered/Narrow Network Design
  • Network Optimization Design
  • Network Contracts
  • Management Support
• Payment Innovation
  • Value Based Reimbursements/Payments – Bundled and Shared
  • Value Based Provider Paneling/Risk Pooling

Healthcare Analytics

Accountable Care Advisory

• Clinical Analytics
  • Rx Analytics
  • Identification and Stratification Design
  • Care Gaps Design
  • Predictive Modeling
• Network Analytics
  • Reimbursement Analytics
  • Provider Analytics
  • Profiling/Benchmarking & Bundled Payment Analytics

• Accountable Care Innovation
  • Strategic Assessments
  • Capability Roadmaps
  • Business Cases
  • Partnership Models
• Accountable Care Analytics
  • Financial Analytics
  • MSSP Operations
  • Risk Modeling
  • Performance Monitoring