Medical Cost Management Initiatives
Services offered include:
- Work with your team to develop a strategy for introducing the new program or product in a way that is meaningful to the customer, health plan and provider
- Define, outline and evaluate all potential impacts on the healthcare system
- Assess and refine the value proposition, including the medical cost savings and quality impacts
- Develop and support an implementation strategy and post-implementation measurement plan
- Outline plans for expansion and resource needs
- Utilize health plan expertise to help you and your team prepare a product proposal across all lines of business (Commercial, Medicaid, and Medicare)
Program Design and Development
Services offered include:
- Lead or participate in program design and development sessions with your team
- Convert desired program outcomes into appropriately scoped and achievable objectives, including healthcare cost savings
- Define and assess all potential impacts to program design, including state and federal regulatory requirements
- Develop operational processes to support the implementation of the program
- Identify and scope necessary tools and technology needed to support the new program
- Develop an implementation plan and strategy
- Complete post-implementation assessments and measurement
Operational Execution
Services offered include:
- Assess your organization’s current processes for effectiveness and efficiency and provide a summary of recommendations.
- Identify pain points and develop plans for improvement
- Develop business processes to align with your key performance metrics and targets
- Define and execute improvement initiatives in order to drive performance and outcomes
- Identify data needs and develop measurement plans to support the desired performance metrics and outcomes
- Consult with your teams to develop all necessary operational documentation as needed, including project plans, process flows, standard operating procedures, job aids, etc.
Project Management Support
Services offered include:
- Provide a dedicated resource to assist your business whether you need someone to lead a team or someone to participate in a team, completing necessary tasks
- Project planning services to help convert ideas and goals into actionable tasks and objectives, including deliverable timelines
- Develop all supporting documentation such as project plans, charters, process maps, and policies and procedures
- Outline plans for growth and expansion, including capacity planning
- Drive and/or support technology implementations