Contact Freed

Healthcare Regulatory Compliance Consulting

Prepare your organization to meet the challenges of healthcare regulatory requirements.

Freed healthcare regulatory compliance consulting services.

Meet healthcare regulatory compliance with confidence.

State and federal-issued regulations continually push our industry to improve healthcare access, equity and quality of care. Addressing these legal demands in the best way possible requires expert interpretation, evaluation and optimization.

Freed routinely partners with clients to plot out the optimal path for implementing solutions that meet regulatory requirements and go beyond to serve as stepping stones for more advanced capabilities. Our compliance consultants can help you identify required actions, implement changes and pass audits with confidence.

Areas of focus.

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

Our experts.

Joella Canales

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
Shanti Wilson

Shanti Wilson

Vice President, Client Solutions
  • Over 20 years of healthcare experience supporting organizations at the federal, state, and local levels, including health plans, health systems, hospitals, and rural providers
  • Expertise in designing and implementing changes to support CMS, ONC, Medi-Cal, and other federal and state requirements
  • Adept at building teams and fostering collaboration across executives, clinical leaders, staff, and administration
Yeeling Wu

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

Our Solutions

Explore other ways Freed Associates can help.

The Freed healthcare consulting group works closely with healthcare organizations to help improve processes and outcomes.

Healthcare Operations Consulting

The rapid evolution of healthcare is forcing all organizations to continuously adjust. Freed has the expert consultants you need to advance your operational improvements, from business practices to care delivery, to care management practices and facilities planning.

Healthcare Strategy Consulting

Implementing sustainable, strategic change in healthcare has always been a challenge. That’s why so many organizations turn to Freed Associates. Our healthcare consultants not only guide senior leadership to help make transformation initiatives a reality, but we also roll up our sleeves and work side by side with your implementation teams to get initiatives across the finish line.

Healthcare Analytics & Technology Consulting

Improving efficiencies and delivering better care depends on robust data analytics capabilities and well-designed systems. Freed has decades of experience helping to realize the value of these investments, from data strategy and analytics initiatives to digital transformation and complex system implementations.

Healthcare Revenue Cycle Consulting

Meeting state and federal-issued regulations is an intensely confusing, time-consuming and constant endeavor. Freed can help you accurately interpret regulations, evaluate appropriate actions, drive impact assessments, achieve regulatory preparedness and successfully complete health plan audits.

Get on the Fast Track to Value

Get on the Fast Track to Value

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