Evolving government regulations and consumer behavior are creating complex problems in Healthcare - We deliver a variety of engagements across our diverse Healthcare portfolio including Big-Bang ACA Managed Medi-Cal Enrollee Expansion, Medicare Risk Adjustment Factor Interventions, Partial Mergers, Specialty Clinic-Program Cost Reduction and Public Hospital Managed Care Infrastructure Development.
Selected Healthcare Case Studies
As the Healthcare industry is buffeted by market, legislative and disruptive changes from accountable care organizations to population health to alternative payment models to the increasing use of analytics, we work with our clients to navigate change. The Healthcare industry and ecosystem will look very different in the future, engaging with the consumer in new ways and placing them at the center, providing even greater transparency. We are strategists, leaders, facilitators, program and project managers, analysts, designers, process engineers, change agents, coaches and trainers helping our healthcare clients navigate these changes.
Medicare Advantage Risk Adjustment Factor Improvement
Our client is an award‐winning Independent Physician Association located in Northern California. As the healthcare industry shifts away from the fee‐ for‐service payment model, our client’s top priority is to more closely align with the movement towards alternative payment models, such as Medicare Advantage (MA) Risk Adjustment Factor (RAF) reimbursement.
Healthcare Call Center Operations Improvement
Our client is a highly recognized county-based public healthcare delivery system. After implementing Safety Net Connect’s electronic provider consultation and referral system, the volume of patient calls to schedule appointments with specialists increased dramatically, resulting in long wait times and reducing patient and provider satisfaction. The Managed Care Services (MCS) Division engaged Kenny & Company to perform an assessment of the specialty care appointment call center operations.
Evaluating Data Quality in Healthcare
Our client is a highly recognized county-based public health delivery system that is making substantial infrastructure and operational changes to keep pace with health reform. Our client wanted to better understand and fix prevalent data quality issues in order to be in compliance with health plan and state regulations.
Selected Healthcare Points of View
The Business of Healthcare Delivery
In the United States, healthcare is delivered within a variety of business models, such as not-for-profit, private, public-private collaborations and …
The Advancement of Healthcare Analytics
Community Health Plans can Support the Triple Aim through High Integrity Data At a recent healthcare information technology conference, industry …