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Population Health Consulting™

A comprehensive, multi-faceted consulting service for payers and providers who want to both reduce costs and drive better health outcomes across their member populations.

 

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Focuson Keeping Members Healthy

  • Become agile in data aggregation and analytics so you can stratify your unique member population by risk and acuity
  • Customize interventions to facilitate preventative care behaviors, chronic disease management, and care compliance, which can lead to improved HEDIS and STAR ratings
  • Align products and services to leverage your reach and effectiveness, with the end goals of coordinating and expediting care and eliminating gaps in care
  • Clean actionable insights to develop an effective population health management strategy for engaging both members and their providers
  • Develop care management programs that complement one another while meeting complex regulatory and reporting requirements
  • Use data analytics to measure the effectiveness of your care management programs via outcomes.

Access Our Expertise for Better Population Health Management

  • Let Data Drive Your Decision Making

    • Our consultants help you devise a path forward with services that include: Strategic Planning; Program and Population Health Assessment; and Clinical-System Assessment, Selection, and Implementation.
    • We can also help you implement your initiatives via our Clinical Operations Business Optimization, Accreditation Preparation and Readiness Reviews, and Information Management Reporting
    • We use data analytics to help you determine ROI by assessing health outcomes across your member population and by evaluating the impact of your initiatives on costs and member satisfaction

Our outcomes

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485208417

Case Study

Achieving NCQA Health Plan Accreditation

Case Study

Achieving NCQA Health Plan Accreditation

Explore how third-party consultants can help health plans achieve National Committee for Quality Assurance (NCQA) accreditation and reaccreditation.

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Female patient paying insurance copayment with credit card reader at clinic check-in counter

Case Study

CMS Program Integrity Assessment

Case Study

CMS Program Integrity Assessment

Explore the benefits of investing in an end-to-end evaluation of your current payment integrity processes and workflow against industry standards.

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485208859

Case Study

Core Administrative Processing System Replacement

Case Study

Core Administrative Processing System Replacement

Discover how consultants helped one health plan redesign workflows, develop interfaces, build an enterprise data warehouse, and move to the Trizetto® Facets® platform.

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