DISCOVER OUR EXPERTISE

Types of Clients/Providers SHC is currently or has previously engaged with:

 

  • Primary Care 

  • Specialty Care 

  • Behavioral Health 

  • Substance Use Disorder

  • Ambulatory Surgery Centers

  • Federally Qualified Health Centers

  • Acute Care Hospitals

  • Pharmacies

  • Long Term Acute Care facilities

  • Behavioral Health Hospitals

  • Skilled Nursing facilities

  • Healthcare Transportation

  • Home Health Care

  • Specialized Durable Medical Equipment

  • Assisted/Independent Living facilities

  • Supportive Living facilities

  • Health Plans – regional and national

OUR ACHIEVEMENTS IN MANAGED CARE INCLUDE:

Provided research and recommendations
to MCOs interested in entering various markets, or changing direction within their markets

Secured over 50 contracts within six months to a year for a large hospital system with the largest being a $500,000,000 contract, and the lowest a $25,000,000 contract

Renegotiated physician agreements around the country, all resulting in 4% to 17% increases

Revenues of each network spanned
$12,000,000 to over $100,000,000

Successfully credentialed
and secured Medicare and Medicaid and
Workers’ Comp status for employed physicians

Contract negotiations include all products such as commercial, Medicare, Medicaid and dual eligibles

Successfully negotiated new contracts for psychiatric hospitals with the highest possible reimbursement. SHC utilizes the history gathered from managed care negotiations throughout the country to solidify the highest reimbursement levels

Secured multi-million dollar agreements
for a large national supplier with all targeted major payors

 

MANAGED CARE SOLUTIONS

614-228-9131

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