Current Client Initiative Client Type

Insurers

 • Pay for Performance Analysis - Payer analysis of all existing Pa and surrounding states P4P programs for a major PA carrier.

• Pricing Models & Administrative Cost Model - Exchange Product pricing model based upon low cost/high quality providers.

• Medicare/Medicaid Advantage Pricing - Pricing model for National Medicare/Medicaid TPA.

• Star Impact Model - Star rating projection impact & integrated savings approach for MA plans.

Providers

• ROI for Clinical Programs

• Set up & Reporting Analysis

• Pricing Model for Healthcare Exchange

• ACO design infrastructure

1. Development and set up of a home health care partnership

2. Financial modeling

a. Reporting & Analysis

b. Incentive Models

Employers

• Healthcare Cost Management Initiatives - Design and management of program ROI, financial projection, alternative financing models.

• Employer Cost Containment - In process of large group rates saving via self insured model.

Services

• Health Insurer Pricing/Underwriting/Projection

• Data Report System/Risk Adjustments

• ROI-Clinical Effectiveness of Disease Management Programs

• Healthcare Strategic Planning

• Healthcare Business Planning

• Network Development-Provider Contracting

• Provider Reimbursement-Unit Price

• Pay for Performance Systems

• Effective Provider Reporting