Home > Services > Consulting > Medical > Managed Care
Managed Care
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Acumetrics
specializes in statistical analysis, study design, NCQA and HEDIS preparation, HEDIS audit, and black box testing.
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Advisors for Health Care
publishers of 'Managed Care Update for Business' newsletter.
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AIS Health Care Info-Station
health care management news, including managed care.
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Apollo Managed Care Consultants
provides consulting services to medical groups, IPAs, PPOs and HMOs to improve cost-effective health care management.
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Axiom Systems, Inc.
software programming, systems integration, and business consulting services.
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Best Health Care
health care management services company specializing in general and specialized managed care.
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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.
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Crum, John MD
health care consultant in medical management and e-health, also provides interim medical director, expert, and medical review services.
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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.
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Emron Inc
health care research and communications company focusing on managed care pharmacy.
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FileView
managed care services, utilization management, and utilization review.
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GHS
turnkey health risk stratification systems give health providers concise, validated risk probability and risk factor information on each managed care enrollee.
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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.
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Greg Bourke & Associates
research and publishing company offering market analysis, intelligence products, and consulting services.
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HealthCare Options, Inc.
specializing in Medicare risk arrangements, Medicaid, PPOs, PHOs and IPAs.
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Healthcare Systems Executive Consulting
offers healthcare consulting services including detailed product requirements and strategic planning.
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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.
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Horizon Mental Health Management
Provides psychiatric contract management services to hospitals. Also does physician, nursing and medical director recruiting.
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Innovative Care Management
provides healthcare management services, including medical case management, precertification, and a prenatal support program.
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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.
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International Council for Quality Care, Inc.
offers a managed care transition system for physicians.
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Managed Care - INFO
membership based resource center.
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Managed Care Information Center
conducts customized healthcare research for clients; and publishes newsletters, directories and special reports for managed care and healthcare executives.
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Managed Care On-Line
MCOL offers electronic info and communications services to the managed care community.
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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.
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Managed Care Resources, Inc.
risk contracting, develop managed care strategies, assist with contract negotiations including capitation arrangements .
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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.
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Medical Development International
provider of contracting, management, and administration.
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NaviMedix, Inc.
works with managed care organizations to streamline communications and processes in existence between health plans and physician offices using web-applications.
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Olympic Health Management Systems, Inc. (OHMS)
national healthcare consulting practice, systems administrator, and major player in the medicare select industry.
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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.
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Pat Ford HealthCare Consulting (PFHC)
helps organizations develop strategies to prepare for NCQA surveys and analysis of HEDIS measures.
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Physician Management Alliance
national consulting company helping payers, physicians and hospitals capitalize on managed care opportunities.
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PMPM Consulting Group Inc.
Premier Management for Prepaid Medicine.
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Private Healthcare Systems
managed care products and services to employers nationwide through a group of commercial insurance carriers.
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Professional Strategy Options, Inc.
offers provider network services and physician practice management support.
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Ruskin and Associates
develop and audit compliance programs for the new Medicare+Choice regulations.
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Scheur Management Group
providing operations management and consulting in managed care.
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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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