Attacking health care costs
Our approach allows us to see new ways to streamline your administration and forge greater productivity across the entire organization, including finance, IT and health care supply chains, such as:
- Revenue cycle management
- Finance operating models
- Payment/reimbursement innovation
- Enterprise risk management
- Supply chain strategic services
- Supply chain operations
- Non-labor cost reduction
- IT strategy and planning
- IT organization and program effectiveness
Transforming health care
Our teams can help you tap into public grant support for health care demonstration projects. We are strong in the following disciplines affecting the adoption of electronic medical records, including:
- Clinical decision support
- Change management
- Governance
- Data governance
- Physician/clinician adoption
- Service performance measurement
- CDM, billing, coding and compliance
- Clinical systems interoperability
- Clinical research process and tools
- Standards of practice
- Grants management and implementation
Thriving through changing health care regulation
Our core services for adapting to the new regulatory environment cover:
- Impact analysis and roadmapping (ICD-10, 5010)
- ICD-10 business case and benefits realization
- ICD-10 process re-engineering
- Cost and quality reporting
- Healthcare reform transparency reporting
- Reimbursement capture
Improving health care operations
Employing driver-based models, we analyze business model risk, including the impact of regulatory change on operations and provide fact-based analysis and modeling through actuarial services.
Our service portfolio includes:
- Pricing strategy and transparency
- Registration and scheduling
- Ancillary department management
- Workflow and workforce management
- Government programs
- Process benchmarking and design
- Ventures, alliances and partnerships
- Business scenario analysis
- Volume/utilization modeling
Delivering on data
We provide enterprise-wide business analytics to help our clients model potential implementation scenarios to effectively manage and reduce risk. Our core strengths include:
- Large program and multi-phase implementations
- System and business portfolio management
- Provider health information systems
- Payer core administration systems
- Healthcare metrics and measures
- Health information integration and exchange
- Pay-for-performance programs
- Fraud and abuse surveillance
- IM organization and process design
It's no secret that the health care environment is challenging to navigate. You need to think clearly and carefully about what the changing health care system means for your organization and for the people you serve.
Our integrated health care practice leverages both payer and provider perspectives, providing a holistic view of the entire health care landscape.
We leverage skills from across our service lines, providing individualized expertise tailored to you and your organization.
We help clients meet a range of business mandates, including:
Attacking health care costs
Both payers and providers will require a new level of operating efficiency for mandated cost thresholds, new taxes and payment reductions. This will be especially true for organizations interested in making a transition toward an accountable care model of reimbursement.
Transforming health care
A health care system based on outcomes rather than volume will mean a growing demand for quality data.
We can help accelerate the transition to electronic record keeping through methods that drive behavior and enable clients to connect across research, standards of care and clinical delivery.
Thriving through changing health care regulation
With the regulatory environment in flux, we can help you master a new set of standards for increased information flow. At the same time, we balance this access with greater attention to patient information security and privacy.
The transition to ICD-10 will bring dramatic change to business processes and reporting systems, requiring a focus on reimbursement methodologies and a new agility for regulatory compliance.
Improving operations
Health exchanges will yield 30 million new customers and unprecedented cost scrutiny creating a need to revisit the business models for many health care products and services.
We can help you re-evaluate and streamline your operations in light of changing market conditions. We apply analytics to improve and automate business processes.
Delivering on data
Your digital health communities demand new approaches to capturing and sharing information across IT platforms and organizations.
We provide leading strategy about how IT and informatics can help deliver a new digital advantage.
