Healthcare Regulatory Preparedness and Compliance Keeping on top of compliance as well as new regulations is an all-consuming task. Far-reaching regulations such as the Medicare Promoting Interoperability Program, Pricing Transparency, and CalAIM have exacerbated the challenge of enterprise preparedness and compliance. The regulation specialists at Freed can help you review requirements, assess your internal policies, evaluate your capabilities, identify required actions, and implement changes. We can also work with you to improve your existing audit and compliance programs. New regulation intake, interpretation, and impact analysis Compliance readiness assessments and gap analysis Design and implementation of process, staffing, and system changes to support new regulations Advisory support for regulatory and compliance governance and practices
Quality Improvement in Healthcare Delivering high-quality care that sets you above competing healthcare organizations requires continuous evaluation and vigilance. Freed knows how to achieve impressive results when it comes to tackling healthcare quality improvement initiatives. Not only can our experts help you attain accreditations, we can also improve your ratings across core measurement sets, including HEDIS, CAHPS and Medicare Star Ratings. Development of enterprise-wide quality infrastructure, including analysis of quality measures and recommendations, identification of reporting requirements, and implementation of quality management tools for providers Assessment of health plan quality programs, including review of Star Ratings, program strategy, accountability, data and operations Development of recommendations related to quality program strategy, structure, processes and people Creation of quality metrics for specific care improvement initiatives, including identifying key metrics for evaluation and creation of scorecards
Health Plan Audit Support Health plan audits are inevitable, time-consuming, difficult to get ready for and a challenge to pass. Freed has an industry-recognized history of helping health plan clients prepare for, manage and complete audits successfully. Pre- and post-audit support Design and management of mock audits Management of audit tasks and requirements Support for corrective action plan responses and resolution
Joella Canales Healthcare Consultant Experienced at leading large scale clinical operations reorganization initiatives Patient-centered consultant who partners with all stakeholders to transform strategic and operational improvements in care management, utilization management and quality Focused on value-based services to optimize business processes along the care delivery continuum Bio Detail
Shanti Wilson Vice President, Client Solutions Brings over 20 years of healthcare experience to support organizations at the federal, state, and local levels, including health plans, health systems, hospitals, and rural providers Provides expertise in designing and implementing changes to support CMS, ONC, Medi-Cal, and other federal and state requirements Builds high-performing teams and fosters collaboration across executives, clinical leaders, staff, and administration Bio Detail
Yeeling Wu Healthcare Consultant Health plan operations subject matter expert who helps clients drive performance and achieve regulatory compliance Client partner who collaborates to identify and strategically pursue high-impact improvement opportunities within highly complex, matrixed organizations Strength in “connecting dots,” understanding dependencies between aspects of health plan functions and their impacts on member and provider experiences Bio Detail
Healthcare Operations Consulting Healthcare organizations must continuously adapt to evolving market demands and care models, new technologies and changing regulatory requirements. Freed helps improve care management performance, business operations and program administration, creating the agility needed to meet today’s challenges and tomorrow’s opportunities. Learn More
Healthcare Strategy Consulting Sustainable transformation requires more than a strategic vision. It requires disciplined execution. Freed not only helps senior leaders turn transformation goals into reality, we roll up our sleeves and work side by side with your teams to move strategy from concept to implementation. Learn More
Healthcare Analytics, Technology & AI Consulting Better decisions and better outcomes require more than technology. Organizations need practical strategies, effective governance, workforce readiness and disciplined execution to successfully adopt new capabilities. Freed helps healthcare organizations assess, implement and scale analytics, digital and AI-enabled solutions while ensuring they are integrated into operations, workflows and decision-making processes that deliver measurable business value. Learn More
Healthcare Revenue Cycle Consulting Healthcare organizations are under constant pressure to comply with multiple, and often competing, federal and state regulations while maintaining operational efficiency. Freed helps organizations translate complex requirements into actionable plans, assess impacts, prepare for audits and implement the operational changes needed to achieve compliance and sustain organizational readiness. Learn More