Development of strategic plans for market positioning and revenue growth for provider organizations, including a robust process for building and/or enhancing a service line strategy.
Strategic and operational planning support for provider organizations including a federally qualified health center.
Creation and execution of a plan for development of a provider network on behalf of a national managed care plan.
Development of an Accountable Care Organization straw model for a payer and for a health system.
Assessment of health plan provider networks and formal employer presentation for group benefits consultant.
Development of a variety of value based arrangements including capitation and bundles.
Development of ACO and health plan operations to support successful population management to strategically reduce expenditures and improve health outcomes.
Development of a framework for a comprehensive health and wellness program for an employer. that included coordinated care with a health system (employee health, worker's compensation, and health benefits).
Redesign of health benefits for employer to reduce expenses, target employee needs, and implement wellness communications plan.
Negotiation of numerous payer contracts on behalf of physicians, hospitals, and other providers.
Analysis of revenue resources for physicians, hospitals, and IPA; recommendations for enhanced revenue and/or revenue growth; problem solving resulting in revenue growth.
Extensive experience with value-based programs.
Completion of a community health needs assessment for hospitals with community and health department participation.
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