Case Studies print this document
The Client:
California-based health insurance company preparing for implementation of a Medicare Advantage product.
The Assignment
Develop a medical delivery system that complies with CMS regulatory requirements  in seven states and file with CMS.
The Solution
Brought all markets filed with CMS and gained approval and licensure to deliver healthcare to seniors in each of the filed states and counties.

The Client:
Multiple health insurers in New York Metropolitan market.
The Assignment
Physician build out for delivery system enhancement for commercial, Medicare Advantage and Medicaid products.
The Solution
Successfully met all of clients’ benchmarks for performance in all physician recruitment projects.

The Client:
National healthcare provider start-up
The Assignment
Interface with CEO to develop a recruitment strategy, human resource manual and to recruit senior management for corporate office and field operations.
The Solution
Completed all phases of project which was slated to take a year in a four-month timeframe.

The Client:
National discount medical product organization start-up
The Assignment
Mentor CEO in marketing, strategy, product development and design, organizational infrastructure. Develop position descriptions and salary ranges for CEO, COO, CFO, CIO, CMO and Director of internal call center. Retained to perform executive searches for above titled positions.

The Solution
Developed retail and wholesale marketing strategy for a suite of healthcare products sold to individuals, HMOs and corporations. Completed in two weeks. Hired all positions in four weeks from inception of recruitment process.

The Client:
Community hospital with 256 beds
The Assignment
Review and re-contract hospital and physician contracts with all healthcare insurance payers serving hospital’s catchment area. Develop system to reduce declination of claims for employed and contracted physicians. Develop system to enhance  inter-departmental communications for revenue maximization.
The Solution
Increased prospective revenue by $2 million. Educated Medical Records Department  and physicians with respect to importance of updating credentialing materials. Implemented

The Client:
Major teaching university hospital with 500+ beds.
The Assignment
Client wanted an experienced executive to serve as interim Chief Financial Officer
The Solution
Provided CFO with 30+ years experience in health care. Integrated into hospital management team, and makes all management and financial decisions required by position.

The Client:
Leading global consumer products company. On Fortune’s list of “Americas’ Most Admired Corporation” since 1983.
The Assignment
Develop medical care plan and prepare and submit all appropriate documentation to the Connecticut Workers’ Compensation Board for approval. Recruit physician-specific network for the Plan.
The Solution
Medical care plan organized according to state regulations and provider network successfully recruited. State approved.

The Client:
Health insurance company in New York that serves over 4.6 million members
The Assignment
Document recovery initiative for 47,883 provider locations due to losses suffered as a result of the World Trade Center terrorist attack.
The Solution
Exceeded client’s benchmark for performance excellence (75% recovery) by 22%.

The Client:
140 Bed Rural  Hospital
The Assignment
Outsource Managed Care Contracting
The Solution
Client merged with a 222 bed Hospital and CHC was retained to contract on behalf of the merged entity.

The Client:
257 Bed Community Hospital
Reorganize an independent 120 MD group into an employed and /or captive PC model
The Solution
MD’s became Hospital employees with newly created performance based compensation structure

The Client:
Nationally known chemical dependency & substance abuse provider that had never contracted with insurers or payers
The Assignment
Negotiate first time private insurance contracts.
The Solution
Several insurance contracts executed after implementing in-house capability to bill and collect

The Client:
Collection company specializing in No-Fault and Workers Compensation
The Assignment
Identify and introduce client to Hospitals, Faculty Practices and other providers with significant Workers Comp and No-Fault receivables
The Solution
Client  entered into new business relationships with new provider entities introduced by CHC

The Client:
New York Multi-Specialty Physician Group
The Assignment
Restructure and centralize all operational functionalities
The Solution
MDs operated under new guidelines and innovative practice management system

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