Advisory Services

HealthEC’s subject matter experts provide an array of consulting services to supplement in-house resources and develop or refine value-based care initiatives that deliver upon your organization’s financial, clinical and operational initiatives.

HealthEC also provides short- or long-term staff augmentation to support organizations in responding to their value-based care business objectives. Whether looking for patient engagement or care coordinators, or supplemental executive leadership, HealthEC has the resource expertise to meet your needs.

HealthEC’s advisory services have helped organizations with their value-based care programs in a variety of ways including:

CMS Program Registration and Provider Enrollment

HealthEC can manage the entire process from enrollment and registration to education and training
  • Assist with enrolling in the MSSP and Risk Arrangements, CPC+, OCM and other CMMI initiatives
  • Provide guidance on successful governance/infrastructure models
  • Assist with setting up the ACO or program structure, board and committees
  • Define financial and quality metrics to meet and exceed CMS and payer objectives

Provider Clinical Transformation, Education and Outreach

  • Provide practice education and consulting for ACO/program measures
  • Develop quality improvement goals/objectives and monitor program results
  • Assist with Patient Centered Medical Home (PCMH) recognition
  • Design provider communication and education
  • Develop and/or deliver a provider training program

Financial/Governance Consulting

  • Evaluate organizational readiness for value-based contracting and the ability to perform under risk sharing arrangements
  • Develop and implement strategies to adapt to value based arrangements
  • Develop provider payment models
  • Guide cost reduction and quality improvement initiatives using comprehensive data analysis
  • Develop clinical care protocols
  • Support payer contract discussions

Audit and Reporting

  • Develop strategies and plans to ensure practice optimization for MIPS reporting
  • Conduct chart chasing for GPRO reporting
  • Provide support for commercial payer audits
  • Provide advice on quality measure selection for program reporting

Care Coordination

  • Create care management models to support the organization’s needs, which may include any combination of the following:
    • Case Management Nurse
    • Transitions of Care Nurse
    • Disease Management Educator
    • Wellness Coach

Clinical Care Management Services

  • Design and implement effective and efficient population health management programs
  • Assist with medical decision making for high-risk patient groups
  • Recommend cost reduction and quality improvement initiatives to the management team
  • Develop clinical care policies and procedures
  • Implement practice transformation initiatives to improve throughput, eliminate redundancy, and engage employees and staff
  • Develop and manage physician engagement for practice transformation programs
  • Serve as liaison to the Medical Directors
HealthEC’s Advisory services support executives with a portfolio of options such as:
  • Creating a Value-based Program
  • Initiating care coordination activities
  • Driving provider engagement
  • Negotiating achievable metrics in payer contracts