• Retain and expand present market share through strategic development
• Maintain physican organized delivery system
• Derive the financial benefits from increased efficiencies and expansion of responsibilities and membership
• Physician based analytics; key performance indicators and dashboard based information dissemination
• Negotiations & contracting

• Creates physician awareness of factors effecting DRG reimbursement
• Develop clinical guidelines by specialty area that help controls utilization
• Align hospital and physician incentives

• Education and training for physician administrative staff
• Reference tools
• Newsletters
• Level the playing field for small practices
• We provide large practice solutions for small sized practices
• Take target markets from current financial management

Target Markets:

Commercial HMO Membership Health Plans traditionally market health benefit coverage to employer groups who offer it as an employee benefit. HMO plans vary significantly in their underwriting and rating practices which must be reviewed in conjunction with capitated reimbursement.

Medicare Risk Membership The federal government, through the Centers for Medicare and Medicaid Services (CMS), allows certain federally qualified HMOs to enter into agreement to provide all covered Medicare services to beneficiaries who choose to enroll with the Medicare Advantage health plan.

Health Plans receive a capitation from CMS based on the health status of the beneficiary. This can be sold as an individual or group retiree product and marketed to people who qualify for Medicare. Revenues typically run three times that of commercial members.