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Health-eSolutions, Inc. 20 Tower Lane, 3rd Floor Avon, CT 06001 860.677.5002 |
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Case Studies Business Divestiture and Re-Positioning Our team was asked by a Midwestern based PHO with 18,000 risk lives to identify the cause of its declining financial position and to recommend strategies to secure its future. Following a 30-day financial and operational review, which included on-site interviews, audit of controls and policies and procedures in claims payment and medical management processes and development of the PHO's first actuarial analysis; we determined the multiple factors causing the financial decline and recommended three alternative strategies. Our preferred recommendation was for the PHO to exit the risk contracting business and re-position for non-risk PPO contracts. Following Board approval of our recommendation we worked with counsel to develop the PHO's liquidation plan and were actively involved in the liquidation of the PHO providing ongoing claims oversight and payer negotiation strategies as the business unwound. Board and Management Retreat/Meeting Facilitation For the last several years, we have designed and facilitated strategic planning and issue specific retreats for organizations that have included medical groups, academic medical center senior level management teams and their direct reports as well as Boards of Directors of hospital and healthcare related companies. Our approach is organized to deliver custom tailored events and management of all content related activities for the retreats. Retreats range from half-day sessions to several days depending on client preference. We design, manage and evaluate retreat sessions to give clients the results they need to expect. Click here to view our Project Approach on Board Retreats. Feasibility Assessment of Integrating Two Faculty Practice Plans We were engaged by three separate parties, an academic medical center, a specialty hospital and a faculty practice plan, to assist in analyzing the feasibility of integrating two faculties into a single faculty practice plan. The process we used sought first to gain commitment to a mutual set of goals and desired outcomes recognizing the different values placed on the integration by each party. Once commitment to the goals and desired outcome was obtained we set about developing the organization and economic models that could lead to a successful integration of the practices. next >> | ||
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