Operations and Clinical Performance Enhancement
Managed Transitions provides clinical performance and hospital operations improvement for hospitals and healthcare accountable care organizations.
Conceptual Framework
Accountable Care reimbursement models have intensified the link between quality & revenue. Every payer, governmental and commercial, is integrating performance expectations into payment. Performance enhancement starts with the effective management of physician, payor and patient relationships and information. Our initiatives go beyond traditional approaches to quality to implement processes and methods that promote the highest standards of care, financial performance and regulatory compliance.
We will enhance the quality and effectiveness of collaboration between the financial professionals and clinical professionals. The ultimate goal is to build broad based executive team accountability for business and clinical performance and ensure sustainable improvements in both arenas.
Results & Return on Investment
Quality and Financial Performance: Revenue gap analysis including identification of high risk areas and solutions to manage risk
Regulatory action plans and audit preparation & training (including ICD 10 readiness assessments and remediation)
Case management program plan with financial targets and timeline
Accountable care strategy and implementation assistance
Physician stakeholder management including enhanced communication strategies; access to information; revenue cycle review, compensation plan review