Managed Care Services - Healthcare Consulting

Healthcare Facilitators is a physician practice management healthcare consulting firm
dedicated in assisting its health care clients to enhance their medical practice through
Practice Assessment, Management Consulting Services and Benchmarking.

Healthcare Facilitators
820 Grovesmere Loop
Ocoee, Florida 34761
407-654-2284
info@hcf.net
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What We Do

1. Medical Practice Assessment

1.3 Managed Care Services
This aspect of the assessment looks at the following:
Contract Review and Negotiations: The objective in this area depends on the practice’s leverage position in the market. If you have a new practice in an area with many physicians, leverage is minimal and attracting contracts is a means to creating patient volume. Pricing although important is secondary to receiving the contract. The strategy is often to insure that 60-90 day contract outs are available.

Once a practice is established, the practice becomes more selective. Contracts are reviewed to protect the practice from such things as solicitation clauses, gag clauses, reassignment of patients following termination, billing and payment cycles as well as compensation.

Fee Schedule Matrix: the development of a fee schedule matrix allows a practice to determine how much it makes from each payor by procedure. It attempts to create an apples to apples comparison. This allows a practice to create a scheduling scheme that enhances revenue but also informs the practice about which contracts to continue with if accessibility is limited.

The physician ultimately needs to determine at what price he/she is willing to render services. This type of analysis allows the physicians to make an informed decision.

Managed Care Strategy: The development of a managed care strategy is obviously based on many market variables as well as the current status of the practice. A practice must determine what leverage it has in the market and where it wants to grow. A new practice trying to create volume should not be too selective while the practice with little accessibility should be only looking for contracts that will enhance revenues or provide market protection.

Continue to 1.4 Marketing Strategies
Back to 1.2 Business Office Operations

1. Medical Practice Assessment
2. Medical Practice Benchmarking
3. Medical Practice Management Consulting Services
4. Medical Practice Management

Healthcare Consultants Case Study One:
New start-up medical practice becomes more requested than providers in same field!
Heathcare Consultants Case Study Two:
Revenues at heathcare practice increase by 20%, expenses down 20% in 2 months!

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