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Payors:
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Commercial and Medicare Plans - MCA offers commercial and Medicare consulting services, ranging from product development, network development, compliance, pricing and medical management. Our team of executives offer years of experience pioneering innovative programs and services. With health care challenges we all face controlling costs and utilization as well as retaining membership, MCA has the team of experts to suit your organization's needs.
Medicaid Health Plans - With the tremendous amount of change in our health care delivery system and the implementation of the Affordable Care Act, Medicaid plans face extreme challenges to perform, operational challenges, regulatory requirements and pressure to continue to innovate and collaborate. MCA brings decades of industry leading experience, solutions and tools to optimize your plans business models to have a high quality health care delivery system that can be financially durable and brings flawless execution to the operations. We position your plan for success! Managed Long Term Care (MLTC) / Long term Services & Supports (LTSS) - By 2020, an estimated 12 million older Americans – and millions more disabled and special needs children and adults – will be driving new demand for both residential and non-residential long-term care services. With this demand, new products, services and supports will continue to emerge. MCA has extensive experience on how to develop, structure, deliver LTSS to care for those with complex and chronic needs. MCA has emerged to assist those organizations as our team of executive consultants have developed and managed these programs. We provide a full turn-key consulting solution or assistance of focused areas of need as MCA has that LTSS experience. Pharmacy Benefit Managers - Prescription drugs account for 10 percent of all health care spending in the United States. Prescription drug spending will increase as health care coverage expands under federal health reform. We bring the underlying policy knowledge and the practical experience required to support your organizations needs. Whether it be Medicaid, Commercial or Medicare Plan, an FQHC or an Employer Sponsored Health Plan, we can assist you with your pharmacy needs and compliance programs. |
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Providers:
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Hospital and Health Systems - Our Operational Improvement team works with management, the board and key constituents to develop and implement value enhancing solutions tailored to meet specific needs. We have the uniquely skilled personnel and resources that are required to help maximize stakeholder value. Our professionals are prepared to address challenging business problems utilizing an analytical approach to identify the changes necessary to achieve sustainable economic value. MCA has the expertise to facilitate revenue enhancement, business and organizational alignment, supply chain management, operational improvement, post-merger integration, post-emergence management and SG&A efficiency.
Accountable Care Organizations (ACOs)- We continue to innovate and our efforts to delivering improved models of care will survive the ongoing politics as we look to improve health care delivery and reduce costs. ACOs and patient centered medical homes help move us in that direction and forces hospitals, physicians and third part administrators to change together. Our executive team has done that and have first hand experience in developing, and managing a successful ACO. At MCA, we can help build that roadmap for you to develop a fully integrated and aligned approach to meet the organizations needs. Let MCA assist you with the strategy, execution and optimization of your ACO. Federally Qualified Health Centers (FQHCs) - MCA executives have extensive experience with working FQHCs. We can help you navigate through our ever changing health care delivery system with assistance with health reform, Exchanges, building a more integrated delivery system, pay-for-performance arrangements to enhance your discretionary income, accreditation, medical management and pharmacy services. We also offer full turn-key outsourcing program for managed care contracts with support from our extensive executives and our legal team to negotiate those agreements to ensure you maximize your revenue. With this service you will know have access to competitive pricing using our powerful proprietary database HC4 to ensure your reimbursement is maximized. MCA's extensive experience working with FQHCs as well as developing an FQHC owned health plan can provide you with the most innovative approaches to help direct your organizations needs. Physician Organizations - MCA has the executive leadership and experience to assist your organization in all aspects of the health care delivery system to ensure a positive impact to beneficiaries. We can help turn-the-table to empower your organization with industry leading solutions to tackle Exchanges, ACO's, managed care contracting, policies, compliance, accreditation, pharmacy services and medical management. We can help you make that transition from our executive team as we have implemented and designed the leading delivery system models for you to adapt to health reform and chart a sustainable strategy for success across all of your lines of business. |
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Employers:
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Employer Sponsored Health Plans / Unions & Labor Organizations - When you are looking for health care consulting to help manage your health care costs, look no further than MCA. Our team of executive leadership aren't just consultants, they are the executives that have been in your shoes and have the clinical expertise, and management expertise to assist your organization. Whether it be cost containment, disease management programs, formulary development, medical management or cost-trend analysis, we can help. Let us help you navigate health reform, exchange products and help you design an improved plan to meet the challenges to delivery quality care under a price point that is affordable.
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