Our Services

Consulting expertise:

1. Health care quality

a. Program development

b. Implementation

c. Outcomes

d. HEDIS

2. Health care resource management

a. Appropriate use of all levels of care

b. Evidence based medicine implementation and

outcomes

c. Program development, implementation, and outcomes

for utilization management programs

d. Concurrent review programs

3. MIPPA

a. Models of care

b. Quality initiatives

c. Resource Utilization

4. Transition of care

a. Program development, implementation and outcomes

for patient transitions from higher levels of care to lower

levels of care.

5. Development of quality and utilization metrics for providers and vendors

a. Provider profiling

b. Vendor profiling

c. Reimbursement review

d. Compliance with policy and procedures of the

organization

6. Pharmacy

a. Formulary expertise

b. Provider compliance with formulary

c. Physician education