Leading the way in intelligent managed care solutions
Today, more than ever, it is important to work with a managed healthcare consultant with an established track record of success. Working with Powers Healthcare Consulting, we’ll help you navigate this complex and overly technical, highly regulated industry. We provide strategic and tactical leadership in all aspects of managed care from both a provider and payer perspective.
Our services
Managed Care Contracting
and Re-Negotiations
Obtain MCO contracts and/or renegotiate existing contracts to
obtain higher reimbursement rates.
Experience in Medicare, Medicaid, and SNP. FIDA,
MLTC requirements and guidelines.
Network strategy, contracting, and operational setup.
Extensive strategy and network build experience with hospitals, PCPs, specialists, and ancillary providers focusing on meeting managed care organization goals and eliminating Medicaid and Medicare audit deficiencies.
A focus on contracting Medicaid, Medicare, and Commercial products.
Network Development and Management
Identify targeted areas of deficiency to meet network requirements.
Develop and evaluate payment rates and strategies for
managed care contracting.
Manage contracts to ensure compliance and provide direct
support in renewing and renegotiating contract terms.
Oversee the production of financial analysis and projections
for the negotiation of contracts.
Analyze the managed care environment; monitor and communicate trends in national, regional, and local markets.
Conduct managed care contract language reviews in conjunction with legal for existing and new contracts.
“Lori is very knowledgeable of the health insurance industry and works at a level of accountability that you rarely see anymore. Highly Recommended!”
— MICHAEL O., VILLAGE CARE
Questions before getting started? Get in touch.
Schedule a Call.
With Powers Managed Healthcare Solutions on your side, you can rest assured that no detail will be overlooked when it comes to developing a profitable and compliant healthcare platform.