CONSULTATIVE APPROACH

Our Customized Approach

At PopHealthMan, we recognize that every health plan requires a customized approach to risk adjustment and revenue management. However, our services go well beyond traditional risk adjustment processes.

We work very closely with our clients to develop unique and innovative solutions designed to incorporate risk adjustment information into the medical management program in order to improve the health and well being of the Medicare population as well as the financial performance of the health plan. We tailor this solution based upon client’s internal processes, expertise, contracted partnerships, etc., resulting in a customized initiative. Our services include the identification of targeted individuals, the development of necessary tools and data flow between departments/partners, and ongoing review and metrics to evaluate the status and impact of the effort. This integration enables the plan to effectively utilize all information available to develop programs to address high risk members.

Whether you’re new to the Medicare Advantage program or experienced, it’s our goal to provide the tools necessary to optimize your revenue and medical management integration. Along with providing our effective solutions, we offer educational opportunities for every vital element of a successful health plan including proper RAPS file submission, compliance, and provider education.

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