Healthcare Consulting Group


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

HOME Healthcare Covid-19 Recovery Payer-Provider Advisory Regulatory Compliance Operational & Financial Performance Improvement

 

HOW MAZARS CAN HELP

 

In today's changing healthcare landscape, payers, providers and other stakeholders must successfully navigate regulatory and market challenges in order to transform their businesses into more profitable and effective organizations. The Mazars Healthcare Consulting Practice is 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.

 

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

Value & Risk-Based Contracting

Unit Cost Reduction Strategy

Value & Risk-Based Modeling and Reporting

Contract Review & Payment Compliance

Network Development

Strategic Alignment Contracting

Provider Data Management

IPA Development

Delegated Credentialing Financial Forecasts and Analytics
Integrated Delivery System Development  

 

 

 

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


Comprehensive Turnaround Management and Implementation   Charge Capture Optimization & System Alignment
Revenue Cycle Assessment and Transformation Cost Analysis and Containment
Cash Position Improvement Strategic Repricing of Services
Charge Master Review & Market Pricing Analysis Compliance & Self-Disclosure Reviews
Executive and Staff Training, Coaching and Development Collection Agency/External Vendor Analysis
Interim Management and Staffing Denial Management and Mitigation
Financial Modeling Claims Audits
Vendor Management & Performance Improvement Inpatient and Outpatient Coding and Documentation Improvement

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