Healthcare Consulting
Driving Results for Patients, Physicians, and Plans
Health plans have much at stake in today’s value-based care market. A plan’s success in value-based care is largely dependent on physicians and other healthcare providers delivering results. With consulting aimed at optimizing all aspects of care – from the front office to the operating room – Medical Advantage can help improve outcomes for all stakeholders.
No One Moves the Needle Like Medical Advantage
Medical Advantage is uniquely positioned as a bridge between health plans and providers. On behalf of health plans, Medical Advantage maximizes provider performance by improving clinical and financial performance at the point of care.
Through our hands-on partnership, we train practice teams on how to make small changes to their operations for higher performance in value-based contracting. Our solution allows providers to continue to focus on care delivery, while we re-engineer the practice to ensure both providers and plans get the data they need. This results in optimized performance on quality metrics, risk adjustment programs, and medical loss ratios – a win for both providers and health plans.
As value-based care contracting arrangements continue to expand, health plans and physician practices are becoming increasingly dependent upon each other for survival.
Hands-on help in the practice is the key to transformation that improves quality, manages cost, and accurately documents risk.
Meeting each practice where they are
Our team tailors a plan unique to your organization – designed to meet your practice wherever it is on the optimization journey.
Key Program Elements
Practice Engagement
We recruit providers into the program and engage practice teams for program success.
Data Analytics and Analytic Insights
We aggregate data from multiple sources, to identify opportunities for developing an effective strategy that drives improvements in the practice.
Onsite Practice Assessment
We assess each practice’s pressing issues and barriers, such as workload, training, use of technology, and workflow optimization – then determine the best course of action.
Personalized Practice Action Plan
We develop a realistic plan based on analytic insights and practice assessment results, to discern a practice’s greatest opportunities for performance improvement.
Focused Practice Interventions
We guide practice teams through a variety of personalized interventions that drive small changes to their current operations, resulting in higher performance in their value-based contract.
Examples:
- Outreach and scheduling training
- Patient-centered workflow redesign
- Patient engagement strategies
- Gaps in care closure
- Technology and reporting systems usage
- HEDIS and evidence-based care education
- HCC Coding
- Billing and coding training
- EHR optimization
Our unique, data-driven approach, known as Practice Catalyst, drives improvements at the point of care.
Robust Toolkit
To start a practice moving forward from where they are today, we provide a robust toolkit equipped with industry-leading best practice templates, processes and procedures, tip sheets, and customized tools.
Features
- Scalable and replicable program
- Staff augmentation or full out-sourcing capability
- In-practice coaching; hands-on instruction and assistance to modernize care delivery
- Data-driven approach to optimize practice performance
- Ongoing data collection and practice monitoring
- Best practice quality improvement interventions
