Performance Improvement
3 Best-in-Class Resource Capabilities
1) CASH / REVENUE RESOURCE CAPABILITIES:
Automated Payments Solution ("ePayables")
Value: Provides cash at no cost, cost savings on current processes, minimal work
Impact: $15,000 per $1M processed through program (Guarantees minimal 25% more
rebates than current program.
Patient Self Pay Solution
Value: Provides non-recourse payment for 70% of all patient balance owed within 2-weeks then provides discount incentives in value to patients.
Impact: Accelerates and increases cash flow, increases staff focus and productivity,
increases patient satisfaction.
Automated Small Claim Balance and Denial Management Technology
Value: Provides patented software that optimizes the efficiency in reconciling the recovery of denied claims, protects against future denials for same reasons
Impact: Guarantees at least a 300% ROI, increases workforce productivity
High Performance Pharmacy
Value: Provides new services, market strategies and optimizes pharmacy revenues
Impact: Historically at least 2% or more of Total Revenues realized in new revenues
HCC Coding Reclamation
Value: Addresses V.24 to V.28 conversion
Impact: Significant increase in value-based revenues
Chronic Care Management Solution
Value: Provides team of 100% U.S. based nurses to optimize care management and revenue streams for hospitals and physicians.
Impact: Enhances Quality of Care
Impact: Provides significant new cash through a “no-risk” approach AND significantly reduces staffing costs
Healthcare Data Activation Hub & Revenue Cycle Management
Value: Proprietary data engine and suite of AI & Automation Tools
Impact: Stops coding leakage, Recaptures underbilled revenues, Provides coding consistency and timely payor updates
Impact: Proactive Patient Outreach: Automation to Improve Quality Engagement and Drive Care Gap Closure
Impact: Cuts billing costs: Reduces Cost of Submitting Claims through Automation and gain a single portal to track and manage all bill activity.
2) COST SAVINGS:
Work-Force Management & Virtual Training Academy
Value: Provides a 3-step approach: 1-Benchmarking, 2-Designing and delivering a program, and 3-Sustaining results through supported Monitoring software. Virtual Training Academy (“VTA”) provides program for training and certifying mid-level leadership
Impact: Guarantees at least a 10:1 ROI
Impact: Ensures mid-level leadership has operational, financial and HR skills to optimize results
Equipment Service/Maintenance Solution
Value: Provides proprietary solution for optimizing cost savings and service delivery related to equipment maintenance services
Impact: Historical cost savings at least 20% benchmarked to current spend
Comment: Optimal value provided with aggregation
Support Services Solution
Value: Provides experienced team of experts focused on operational and financial performance improvement in support services areas including: Environment, Food, Security, Laundry, and Facilities
Impact: Historical cost savings at least 15% benchmarked to current spend
Energy Consumption Management Solution
Value: Drives measurable and sustainable energy cost savings.
Impact: Typical cost savings between 8% to 12%.
Medical Benefit Manager (“MBM”)
Value: Provides MBM alternative to current PBM
Value: Supports white label owned Solution through turn-key infrastructure support
Value: Provides Triple Aim results of lower costs, enhanced quality, and outcomes
Impact: Historical range of savings between $40 to $100+ Per Member Per Month.
Emergency Department and Hospital Medicine Advisory Services
Value: Provides innovative solutions to improve overall Emergency Department and Observation Patient management performance.
Value: Improved efficiency in the delivery of emergency department and outpatient observation patient care leading to improved ED throughput metrics, accurate patient status determination, and decreased inpatient denials
Impact: Historical revenue improvements and cost avoidance of between $2.7M and $11M+ annually
3) STRATEGIC & QUALITY:
Direct to Employer (“D2E”) Health Plan Strategies & Solutions
Value: Provides best-in-class fully integrated resource platform to design and deliver D2E & /level-funded healthcare plans for Healthcare Systems/IDN’s and ACOs.
Impact: Provides foundation for value-based care, increased market share and overall margin optimization.
Self-Funded/Level-Funded Health Plan Solutions
Value: Provides best-in-class fully integrated resource platform to design and deliver self-funded/level-funded healthcare plans for small, medium, and large organizations.
Impact: Bends cost curve of continuous fully insured programs while improving the quality of life of participants.
Behavioral/Mental Health Services/Platform
Value: Top-tier team leveraged by state-of-art tele-medicine technology optimizes mental health outcomes supporting outpatient care
Value: Provides personalized wholistic care management approach supporting emergency department (consults)
Medical Withdrawal Management Program
Value: Assists Hospitals in fulfilling an unmet community need (New Service)
Value: Provides Turnkey, Jump-Start, and SaaS Licensing Options
Impact: Historical annual margin improvement between $375K to $2.0M+
Safe Environments
Value: Provides comprehensive approach to identifying, mitigating, and preventing unsafe environments including surface and air quality monitoring
Impact: zero infection environment in perioperative and other monitored areas of hospital and subacute care areas.
Comment: Joint Commission has called the “Gold Standard” for ensuring safe environments in hospitals
Proactive Care Management Platform
Value: Provides a fully integrated platform of proprietary monitoring devices supported by team of healthcare professionals collaborating to ensure no “gaps in care” of each patient.
Value: Creates a hospital in the home environment at the greatest value (highest quality care management at the lowest cost)
Impact: Lowers cost of care
Impact: Reduces readmission rates historically below 3%.
Impact: Mitigates risk and reduces costs in self-insured plan for employees