Freed Associates

Making the Most of California’s Health Databases

Complying with the Affordable Care Act’s Complex Risk Adjustment Requirements

The health care system was able to control the approach and processes it employed to ensure compliance with CMS’ new Standard Methodology reporting standards for CSR reconciliation – and ensure that this work did not impinge on its regular, ongoing CSR reporting requirements.

Health System Achieves Data Alignment Breakthrough

The new clinical file extract layout included a variety of new rules, including a data model detailing the data sources and data flow necessary to support the clinical extract.

Overcoming the Challenges of Launching a Clinical Integration Network (CIN)

By developing and implementing a top-tier CIN infrastructure, the health care system positioned itself to more readily achieve its quality, efficiency and cost-reduction goals.

Maximizing Membership Growth through New Open Enrollment Strategy

Equipped with best-practice guidelines for its enrollment facilitation program, the health plan now has a set of repeatable standards and processes to help expand its group health business.

When Success Depended on Well-Performing Tech

Both the data center and business productivity implementations proceeded well, enabling the organization to launch its services on-time and meet a critical market timing need.

Major Insurer Revamps 3Rs Reporting to Gain Multimillion ACA Returns

The client built a 3Rs-related operational model, complied with all 3Rs-related regulatory policies and changes, and developed and improved multiple 3Rs-related processes.

Health System Significantly Enhances Patient Access and Reduces Operational Costs

Among significant patient access improvements was a float pool initiative that increased operational efficiency and substantially decreased operating costs – up to $100,000 annually in savings.

Health Care Reform Meant IT Project Management Reform

Through Freed’s direction and support, the client was able to revive and maintain the health of a key mandate project.

Multi-State Health Plan Traverses ACA Complexities to Meet Requirements, Reduce Risks

When a multi-state health plan needed to meet compliance with all of the components of the Affordable Care Act (ACA), Freed developed and executed a plan.

Identifying Root Causes of Avoidable ED Visits Leads to Improved Quality

A major healthcare organization has an innovative palliative care program that recently experienced significant expansion. The program decided to embark on a project to reduce avoidable ED visits by their patients. They asked Freed Associates to help them identify and address the root causes of these visits.