Healthcare Consulting

Driving Results for Patients, Physicians, and Plans

Health plans have much at stake in today’s value-based care market. A plan’s success in value-based care is largely dependent on physicians and other healthcare providers delivering results. With consulting aimed at optimizing all aspects of care – from the front office to the operating room – Medical Advantage can help improve outcomes for all stakeholders.

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No One Moves the Needle Like Medical Advantage

Medical Advantage is uniquely positioned as a bridge between health plans and providers. On behalf of health plans, Medical Advantage maximizes provider performance by improving clinical and financial performance at the point of care.

Through our hands-on partnership, we train practice teams on how to make small changes to their operations for higher performance in value-based contracting. Our solution allows providers to continue to focus on care delivery, while we re-engineer the practice to ensure both providers and plans get the data they need. This results in optimized performance on quality metrics, risk adjustment programs, and medical loss ratios – a win for both providers and health plans.

 

As value-based care contracting arrangements continue to expand, health plans and physician practices are becoming increasingly dependent upon each other for survival.

Hands-on help in the practice is the key to transformation that improves quality, manages cost, and accurately documents risk.

Meeting each practice where they are

Our team tailors a plan unique to your organization – designed to meet your practice wherever it is on the optimization journey.

 

Health Plan Solutions Diagram

Key Program Elements

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Practice Engagement

We recruit providers into the program and engage practice teams for program success.

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Data Analytics and Analytic Insights

We aggregate data from multiple sources, to identify opportunities for developing an effective strategy that drives improvements in the practice.

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Onsite Practice Assessment

We assess each practice’s pressing issues and barriers, such as workload, training, use of technology, and workflow optimization – then determine the best course of action.

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Personalized Practice Action Plan

We develop a realistic plan based on analytic insights and practice assessment results, to discern a practice’s greatest opportunities for performance improvement.

Focused Practice Interventions

We guide practice teams through a variety of personalized interventions that drive small changes to their current operations, resulting in higher performance in their value-based contract.

Examples:

  • Outreach and scheduling training
  • Patient-centered workflow redesign
  • Patient engagement strategies
  • Gaps in care closure
  • Technology and reporting systems usage
  • HEDIS and evidence-based care education
  • HCC Coding
  • Billing and coding training
  • EHR optimization
Practice Solutions Diagram

Our unique, data-driven approach, known as Practice Catalyst, drives improvements at the point of care.

Robust Toolkit

To start a practice moving forward from where they are today, we provide a robust toolkit equipped with industry-leading best practice templates, processes and procedures, tip sheets, and customized tools.

Features

  • Scalable and replicable program
  • Staff augmentation or full out-sourcing capability
  • In-practice coaching; hands-on instruction and assistance to modernize care delivery
  • Data-driven approach to optimize practice performance
  • Ongoing data collection and practice monitoring
  • Best practice quality improvement interventions
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Talk to one of our experts today

Enhancing the Patient and Provider Experience with Virtual DocumentationJoin Us For Our Upcoming Webinars on Wednesday 9/29 and Thursday 9/30

Augmedix founder Ian Shakil and CMO Davin Lundquist, MD, join us to discuss how their virtual medical documentation software empowers clinicians to focus on patient care, decreases burnout, and save 2 to 3 hours each day!