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Home > Services > Consulting > Medical > Managed Care
 Managed Care
Acumetrics
specializes in statistical analysis, study design, NCQA and HEDIS preparation, HEDIS audit, and black box testing.
Advisors for Health Care
publishers of 'Managed Care Update for Business' newsletter.
AIS Health Care Info-Station
health care management news, including managed care.
Apollo Managed Care Consultants
provides consulting services to medical groups, IPAs, PPOs and HMOs to improve cost-effective health care management.
Axiom Systems, Inc.
software programming, systems integration, and business consulting services.
Best Health Care
health care management services company specializing in general and specialized managed care.
Chapin Revenue Cycle Management
collects managed care or insurance accounts for hospitals. Major services are audit and recovery, accounts receivable outsourcing, and appeals for denied claims.
Crum, John MD
health care consultant in medical management and e-health, also provides interim medical director, expert, and medical review services.
Donlon & Associates
actuarial consulting firm specializing in strategic planning advice for health care provider and employer clients for design, pricing, funding, and administration of managed care plans.
Emron Inc
health care research and communications company focusing on managed care pharmacy.
FileView
managed care services, utilization management, and utilization review.
GHS
turnkey health risk stratification systems give health providers concise, validated risk probability and risk factor information on each managed care enrollee.
Gil Weber MBA
managed care and practice management consulting. Capitation rates development and risk analysis, contracting and negotiations strategies, RFPs, integrated networks, compensation systems, vision and eyecare plans.
Greg Bourke & Associates
research and publishing company offering market analysis, intelligence products, and consulting services.
HealthCare Options, Inc.
specializing in Medicare risk arrangements, Medicaid, PPOs, PHOs and IPAs.
Healthcare Systems Executive Consulting
offers healthcare consulting services including detailed product requirements and strategic planning.
HMS Associates
specialists in network design/formation, managed care, contract development/negotiation, capitation/fee structures, certificates of need, community health priority identification, and behavioral health.
Horizon Mental Health Management
Provides psychiatric contract management services to hospitals. Also does physician, nursing and medical director recruiting.
Innovative Care Management
provides healthcare management services, including medical case management, precertification, and a prenatal support program.
Integration Resources, Inc.
specializes in medical imaging and information systems, offering a range of RIS and PACS planning, cost justification, contracting, and project management services.
International Council for Quality Care, Inc.
offers a managed care transition system for physicians.
Managed Care - INFO
membership based resource center.
Managed Care Information Center
conducts customized healthcare research for clients; and publishes newsletters, directories and special reports for managed care and healthcare executives.
Managed Care On-Line
MCOL offers electronic info and communications services to the managed care community.
Managed Care On-Line [mcareol.com]
offers managed care news, data and resources as well as information about Managed Care On-Line and other MCOL software.
Managed Care Resources, Inc.
risk contracting, develop managed care strategies, assist with contract negotiations including capitation arrangements .
ManagedCare Partners, Inc.
consulting in strategic planning, capitation and risk sharing strategies, PSOs, IPAs, POs, MSOs, messenger models, clinical, UR/UM, and disease management programs.
Medical Development International
provider of contracting, management, and administration.
NaviMedix, Inc.
works with managed care organizations to streamline communications and processes in existence between health plans and physician offices using web-applications.
Olympic Health Management Systems, Inc. (OHMS)
national healthcare consulting practice, systems administrator, and major player in the medicare select industry.
Outlook Associates, Inc.
managed healthcare information systems consulting provided nationwide to indemnity and HMO insurers, PPOs, Medicare, Medicaid, self-insured employers, PHOs, MSO, and medical groups.
Pat Ford HealthCare Consulting (PFHC)
helps organizations develop strategies to prepare for NCQA surveys and analysis of HEDIS measures.
Physician Management Alliance
national consulting company helping payers, physicians and hospitals capitalize on managed care opportunities.
PMPM Consulting Group Inc.
Premier Management for Prepaid Medicine.
Private Healthcare Systems
managed care products and services to employers nationwide through a group of commercial insurance carriers.
Professional Strategy Options, Inc.
offers provider network services and physician practice management support.
Ruskin and Associates
develop and audit compliance programs for the new Medicare+Choice regulations.
Scheur Management Group
providing operations management and consulting in managed care.
Triage Consulting Group
specializing in managed care payment reviews, triage assists hospitals and physicians' groups in every aspect of managed care consultation.
 

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