Who we serve:

Payors:
  • Commercial Health Plans
  • Medicare Advantage Health Plans
  • Managed Medicaid Plans
  • Managed Long Term Care / Long Term Services & Supports Plans
  • Pharmacy Benefit Managers
Providers:
  • Health Systems
  • Accountable Care Organizations
  • Federally Qualified Health Centers
  • Physician Organizations
Employers:
  • Employer Sponsored Health Plans
  • Union / Labor Organizations
 



What we do
Our clients have immediate access to expert guidance, management support and broad skill set that covers their wide variety of needs.  Our executive team can provide either consultative or management services depending upon clients needs.  We are deeply experienced in strategy formulation, organizational alignment, infrastructure development and enterprise management.  Whether your organization is an early stage MCO with development needs, a more mature organization undergoing rapid change or a provider organization bearing risk we can assist you.

Knowledge is Power!

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Every health care organization and provider is looking for financial information to ensure a competitive balance and a fair level of reimbursement.  MCA, created HC4 specifically to meet these needs.  With HC4 you will now be in control of the negotiation process.  We have developed over the years a national competitive market intelligence database that continues to be updated to determine competitive pricing in the market place to ensure your managed care agreements are market competitive and are in-line with your competitors.  Now we are making that information available to you!  See how HC4 can help revolutionize your financial position.

Other Additional Value added Services:

Health Reform

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Our team has been immersed in all aspects of health reform including duals, ACO partnerships, insurance exchanges, delivery system and behavioral health reform.

Acquisitions / Capital

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With our team of professionals we can assist with a sale or acquisition of a managed care organization, provider practice or hospital. In addition, we can help provide needed capital for your business needs.

Drive Performance

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We drive performance in all areas and we have solutions in place for risk adjustment, root cause analysis, network evaluation,  re-contracting strategies as well as pay-for-performance / gain sharing. We help you achieve superior performance!

Outsource - Contracting

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We can serve as your in-house contract negotiator to achieve the best rates and language for your health system, FQHC or managed care organization.