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Professional Services and Consulting

Health Integrated brings exceptional depth and breadth of insight to both care management and operational effectiveness by assessing your strategic challenges in financial performance, quality and compliance. We bring innovative thinking and best practices to our health plan partners who are striving to achieve the Triple Aim, reduce MLR and achieve other strategic imperatives.

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Our consulting professionals work with senior leadership at top risk-bearing health care organizations to help them thrive in a health care ecosystem that is experiencing unprecedented levels of transformation. Our panel includes strategists, health care economists, medical directors, data scientists, compliance officers and former managed care CXOs who represent the pinnacle of talent and expertise in their disciplines. Because of our unique experience set, we are able to support your unique business needs with custom ideas for complete care coordination, behavioral health integration, care and utilization management effectiveness, population health analytics and member interventions.

Enhance

Health Integrated can drive your audit preparation with mock audits and gap analyses, and make sure your response to corrective action plans is airtight. We will identify and address gaps in your quality and compliance processes, people and technology. Our time-tested dashboards and other tools can drive better productivity across your plan. With our specialty consulting in the Star program, Medicaid, Medicare and dual-eligible populations, your plan can enhance ratings with strategies for improving member satisfaction and closing HEDIS gaps.

Insights

Our team can deliver insights from population analyses and the health care ecosystem to your plan. Health Integrated can demonstrate the power of actionable big data for driving member identification, segmentation and stratification that will help you manage risk. You will be better able to identify members with risk-adjustment opportunities, and to apply provider and network analysis for financial and quality optimization. We will assess and improve your program ROIs through analytic modeling and help you develop core informatics skill sets across your plan.

Contact us today to learn more about how our professional services and consulting can benefit your health plan and its members.