Healthcare Delivery Issues
- Network Analysis & Development
- Program Development (Centers of Excellence, Workers' Compensation)
- Network Diversification
Managed Care Contracting (Physician, Hospital, Ancillary Providers)
- Contract Evaluation, Negotiation & Implementation
- Strategic Planning
- Managed Care Readiness Assessment
- Payment Arrangements (Capitation, Fee Schedules, Discounts, Risk Arrangements)
Clinical Site Management
- Site Evaluation
- New Program Development
- Managed Care Contracting
Provider Education
- Contract Evaluation
- "Managed Care for Providers" Training
- Marketing Program Development for Provider Recruitment & Retention
Operational Issues
- Provider Credentialing Oversight
- Program Development & Vendor Selection
- Staff Training
Ancillary Provider Issues
- Lab
- Pharmacy
- Durable Medical Equipment
- SNF
NCQA & URAC Preparedness
- Evaluation of Current Situation
- Oversight of Staff
- Preparation of Documents
- Site Visit Assistance
Responses to RFP's
- Strategy
- Product & Service Analysis
- Preparation of Written Document
Disease Management Program
- Selection
- Development & Implementation
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