Managed health care business management consulting, finance, development and health care financing administration services
Managed health care business management consulting, finance, development and health care financing administration services |
|
|
| The Company Our Services Contact Us Site Map Home |  |
Health care systems planning and development servicesPlease visit the following sections related to planning your health care or managed care company:
Start-up ProgramsAMG specializes in the development of start-up companies and projects for provider networks, IPAs, HMOs, Insurance carriers and self-funded groups. Starting with a steering committee or board of directors, AMG will assist in the determination of ownership, tax, legal and organizational structures and prepare budgets and pro formas. If your existing company has special projects, from opening a new marketing area, expanding your provider network or developing new benefit plans for the market, AMG will meet your needs. If your company needs investment partners, AMG will assist in preparing offering materials, help identify potential investors and participate in presentations and negotiations. If your company has multiple investors, AMG will set-up and train your staff on the operational management and tracking of funds and stock. AMG will do as much or as little as needed to assist you in your venture. We will work with and train your existing staff, or hire staff for you as needed. AMG will prepare the complete filing documents for licensure submittal, identify and negotiate all providers needed for a complete network and set-up in-house operational departments and/or vendor relationships needed for a complete turn-key company. Our professionals specialize in health care industry contracts, and will write and/or review all your contracts as well as train your in-house staff on what to look for in our unique industry, whether it be a legal, operational or financial issue.
Provider Delivery SystemsAMG has been developing risk and fee-for-service provider networks since 1972. We have developed networks for fee-for-service to full global risk to specialty carve-out markets. Through the years, we have ventured into undeveloped and over-developed territories organizing physician and provider networks creating a win-win situation for all involved. From a start-up company to an on-going venture, AMG can assist you with your needs. As a hands-on company, we actually do the work for you, from writing contracts to operationalizing your company to marketing, negotiating and implementing the network to third party payors. The financial structure of the network is an important factor in the success of the network, from fair and equitable rates for the providers, actuarial analysis of Payor negotiated rates for services to be provided to reinsurance for risk management. AMG will implement these processes or assist in evaluating your current financial structures for re-structuring. Another key element to maintaining a strong network is fair and effective utilization management and review. AMG makes the system as easy as possible for the providers and the patients while maintaining the financial integrity of the company stability.
Business PlanningImprove business and financial processes, revenue and cost analysis, funds management, financial analysis and reporting. From new ventures to reorganization of your business, AMG can help you get there. AMG will assist you in identifying the strengths and weaknesses of your company operationally and financially. AMG will also provide the daily functions until a permanent staff member has been identified.
Special ProjectsSpecial projects consume a lot of staff time that may not be available to get the job done without causing other areas of the operations to suffer. AMG can assist you in completing special projects without causing you to increase your staff and allowing your company to do business as usual.
Research and DevelopmentMany opportunities are untapped and good ideas go untouched due to the lack of time or staffing. AMG can assist you in evaluating these product lines and assessing the possibilities. Once you have determined that you want the project to go forth, AMG can assist you in bringing the product to market.
TPA Services and Interim ProcessingAMG’s affiliated company, MIS Insurance Administrative Services ("MIS") can provide full, third-party administration (TPA) processing for your new company, new product lines or claims back-logs. MIS services allow you to fix your costs while building your cash reserve and generate new business without the burden and cost of the daily operations. Until your enrollment volume warrants the high cost of purchasing a claim processing system, MIS can provide full managed care Payor and provider network processing services for your multi-option EPO/HMO, POS and PPO products. MIS can even answer the phone lines with your company name and use your business cards when meeting with your customers. MIS can provide total or partial managed care processing. Many of our customers prefer to do their own utilization management and quality assessment by dialing into our computers to access the UM modules while have MIS handle the daily burden of total retail and wholesale processing. When you purchase a processing system, we will work with your staff to transition the work flow into your operational structure, providing a smooth and seamless transition. For more information on how our health care business management and consulting services can improve your bottom line, contact Allied Management Group today. |
