Obtaining and maintaining profitable managed care contracts on an ongoing basis is the proven method to maximize your patient revenue streams. SHC offers a complete menu of contracting services.

 

• Review and assess

• Strategy development

• Advice

• Negotiations

• Ongoing monitoring

Credentialing is a major part of both the contracting division and the network development team. SHC offers a complete menu of credentialing services.

 

• Information collection & management

• Provider enrollment

• Payor compliance

• Single point documentation  

Payors are increasingly seeking value-based arrangements, which are heavily influenced by provider performance and outcomes.  SHC offers a complete menu of value-based services.

 

• Value based modeling

• Define capabilities & tolerance

• Quality & performance measure

• Framework constructions

• Review and recalibration

Providers that optimize their revenue cycle management maximize the reimbursements coming in the door by ensuring providers aren’t leaving money on the table. SHC offers a complete menu of revenue cycle services.

 

• Assessment

• Analysis & best practices

• Self sufficiency & payor strategy

• Payor support & claim solutions  

Developing and maintaining robust, high quality and low-cost provider networks is key for the success of payors, ACOs and IPAs. SHC offers a complete menu of network development services.

 

• Market & gap analyses

• Network adequacy analyses

• Provider quality program management

We provide expert government relations services, helping healthcare organizations navigate legislative challenges and influence policy to achieve their goals. SHC offers a complete menu of government relations and advocacy services.

 

• Lobbying

• Provider advocacy

• Coalition management

• Federal grants