Problems We've Solved
How a Health Plan Prepped for an ACO Measurement Program
All major activities involving the health plan’s adoption of the commercial ACO program were completed successfully and on time.
Learn more Download PDFMaking the Most of California’s Health Databases
News earlier in 2019 about the launch of the Symphony Provider Directory, an online repository of California provider data, had to be music to the ears of provider and health plan administrators.
Learn more Download PDFComplying 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.
Learn more Download PDFHealth 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.
Learn more Download PDFOvercoming 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.
Learn more Download PDFMaximizing 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.
Learn more Download PDFWhen 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.
Learn more Download PDFMajor 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.
Learn more Download PDFHealth 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.
Learn more Download PDFHealth 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.
Learn more Download PDFMulti-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.
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