Healthcare Consulting Group


Navigating today's turbulent healthcare environment demands experienced insight and dynamic solutions.

HOME Healthcare Payer-Provider Advisory Regulatory Compliance Operational & Financial Performance Improvement

 

HOW MAZARS CAN HELP

 

We are committed to developing and maintaining a "trusted advisor" relationship with our clients - offering creative and comprehensive solutions to your most pressing needs. Our powerful combination of service and results-oriented strategy helps clients meet their business goals, overcome challenges, and improve performance.

 

We provide comprehensive crisis management assistance and litigation support for all types of financial and economic disputes.  We uncover facts, analyze data, and offer our expert opinions in a clear, convincing manner to resolve conflicts. Our national and international teams address corporate risk exposures, economic damages, fraudulent acts and misstatements. We work closely with private and public entities, insurance companies, government agencies, individuals and legal representatives, using a tailored process to ensure cost-effective and practical solutions.

 

Value-added insight on the strategic, operational, clinical and analytical elements that impact you most.

Strategic Planning

 

Fee Schedule / Capitation Analysis

Market Expansion Strategies

Vendor Carve-Out Negotiations

Managed Care Plan Development

Narrow Network Design

Performance & Risk-Based Contracting

Unit Cost Reduction Strategy

Outsourced Managed Care Contracting

Contract Review & Payment Compliance

Delegated Credentialing

Strategic Alignment Contracting

Integrated Delivery System Development

IPA Development

End-to-end Network Development

Financial Forecasts and Analytics

 

Helping clients to successfully navigate regulatory changes and implement new state and federal regulations - increasing awareness and reducing risk.

State and Federal Managed Care Plan Licensure

 

Comprehensive Organizational, Operational, and Structural Assessment

State and Federal filings - New or Expanding Networks

Policy, Procedure and Programmatic Development

State and Federal Regulatory Services

Fraud, Waste and Abuse Programmatic Development and Evaluation

Survey and Audit Readiness Assessments

Expert Witness Testimony

Corrective Action Plan (CAP) Development and Implementation

 

 

Comprehensive advisory services, organizational restructuring and interim senior leadership to improve clinical and financial outcomes

Interim Management and Staffing

 

Financial Modeling

Executive and Staff Training, Coaching and Development

Revenue Cycle Assessment and Transformation

Comprehensive Turnaround Management and Implementation

Cash Position Improvement

Value based Modeling and Reporting Charge Master Review
Charge Capture Optimization & System Alignment Collection Agency/external Vendor Analysis
Cost Analysis and Containment Denial Management and Mitigation
Strategic repricing of services Claims Audits
Compliance & self-disclosure reviews Inpatient and Outpatient Coding and Documentation Improvement

 

Gil Enos | Principal
916.696.3667
Gil.Enos@MazarsUSA.com
Detailed profile