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Longterm Oversight
Engagements

Healthcare Finance

 

  • Provides firm interim leadership and maintains and improves hospital and clinic systems financial operations during executive searches.

  • Develops strategies and approaches to achieve effective hospital and clinic budgets and financial planning.

  • Handles capitation and fee-for-service rate development, including charges (and charge-master setup) and expected reimbursement by payer.

  • Negotiates contracts with payers and providers who seek to secure institutional and professional services.

  • Builds and enhances revenue cycle processes and systems to ensure maximum cash flow and collections.

  • Develops cost and utilization reporting mechanisms to ensure accurate profitability and capacity pictures.

 

Managed Care Finance

 

  • Provides firm interim leadership and maintains and improves health plans, health systems, and physician groups financial operations during executive searches.

  • Develops strategies and approaches to achieve effective health plan budgets and financial planning.

  • Handles capitation and fee-for-service rate development, including carve-out pools, risk pools, and incentives.

  • Negotiates payer contracts, plan to plan agreements, and provider network agreements.

  • Develops encounter, utilization, and productivity reporting mechanisms to ensure network adequacy and patient access.

 

Other Finance Activities

 

  • Provides excellent financial expertise, advice, and analysis to health systems and health plans executives and leaders.

  • Develops highly functioning financial management and analytic teams.

  • Collaborates and communicates effectively with board officers, executives, managers, line staff, actuaries, auditors, consultants, vendors, and project managers.