Recent Projects

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• Medicare ACO Application
   

1. Guided application process from start to finish

2. Legal entity formation

3. Provider contract development

4. Governance structure

5. Market analysis

6. Benchmark forecasts
    

• Medicare ACOs and Emerging Models
   

1. Collaboration strategies within STARK and AKS Waivers

2. Financial analysis of revenue and expense for emerging models vs current

3. Competitive Market Positioning
    

• Policy and Market Analysis for Major Pharma
   

1. Strategy for Risk Bearing Organizations

2. Review/Revision of company developed and sponsored material

3. Focus group of key decision makers

4. Parameters for new economic models
    

• Strategic and Economic Analysis for Provider Sponsored ACOs
   

1. Interpretation of Medicare ACO rules and options

2. Evaluation of Medicare Advantage options

3. Local Market Analysis of patient populations

4. Collaboration models with local provider constituencies
    

• Physician group market optimization
   

1. MA and MSSP strategies

2. MIPS vs. MACRA

3. Medicare Advantage contracting

4. Growth and consolidation strategies
    

• CIN Strategy Development
   

1. Financial and operational integration topics

2. Financial and clinical alignment strategies and programs

3. Market forecasts

4. Risk management strategies
    

• Payer Contract Analysis
   

1. DETAILED Medicare Advantage contract review

2. Risk pools and value based

3. Target MLR and percent of premium improvements

4. Included/excluded expense Items
    

• Acquisition Analysis
   

1. Due diligence of operations

2. Payer contract review

3. Forecast follow on business development

4. Immediate opportunities values

5. Analysis of risk performance
    

References are always available upon request.  Our clients appreciate their privacy, but also appreciate the value we have provided.