- Private Healthcare Systems
 - Managed care products and services to employers nationwide through a group of commercial insurance carriers. - Managed Care On-Line
- MCOL offers electronic info and communications services to the managed care community.
- Apollo Managed Care Consultants
- Provides consulting services to medical groups, IPAs, PPOs and HMOs to improve cost-effective health care management.
- Emron Inc
- Health care research and communications company focusing on managed care pharmacy.
- Managed Care Information Center
- Conducts customised healthcare research for clients; and publishes newsletters, directories and special reports for managed care and healthcare executives.
- Triage Consulting Group
- Specialising in managed care payment reviews, triage assists hospitals and physicians' groups in every aspect of managed care consultation.
- Scheur Management Group
- Providing operations management and consulting in managed care.
- Managed Care - INFO
- Membership based resource centre.
- AIS Health Care Info-Station
- Health care management news, including managed care.
- Advisors for Health Care
- Publishers of "Managed Care Update for Business" newsletter.
- NaviMedix, Inc.
- Works with managed care organisations to streamline communications and processes in existence between health plans and physician offices using web-applications.
- Managed Care On-Line [mcareol.com]
- Offers managed care news, data and resources as well as information about Managed Care On-Line and other MCOL software.
- Axiom Systems, Inc.
- Software programming, systems integration, and business consulting services.
- Gil Weber MBA
- Managed care and practice management consulting. Capitation rates development and risk analysis, contracting and negotiations strategies, RFPs, integrated networks, compensation systems, vision and eyecare plans.
- Managed Care Mall
- Place to gather information for Managed Care professionals.
- Physician Management Alliance
- National consulting company helping payers, physicians and hospitals capitalize on managed care opportunities.
- Outlook Associates, Inc.
- Managed healthcare information systems consulting provided nationwide to indemnity and HMO insurers, PPOs, Medicare, Medicaid, self-insured employers, PHOs, MSO, and medical groups.
- Managed Care Resources, Inc.
- Risk contracting, develop managed care strategies, assist with contract negotiations including capitation arrangements .
- GHS
- Turnkey health risk stratification systems give health providers concise, validated risk probability and risk factor information on each managed care enrollee.
- PMPM Consulting Group Inc.
- Premier Management for Prepaid Medicine.
- Innovative Care Management
- Provides healthcare management services, including medical case management, precertification, and a antenatal support programme.
- ManagedCare Partners, Inc.
- Consulting in strategic planning, capitation and risk sharing strategies, PSOs, IPAs, POs, MSOs, messenger models, clinical, UR/UM, and disease management programmes.
- International Council for Quality Care, Inc.
- Offers a managed care transition system for physicians.
- HMS Associates
- Specialists in network design/formation, managed care, contract development/negotiation, capitation/fee structures, certificates of need, community health priority identification, and behavioural health.
- Donlon & Associates
- Actuarial consulting firm specialising in strategic planning advice for health care provider and employer clients for design, pricing, funding, and administration of managed care plans.
- Greg Bourke & Associates
- Research and publishing company offering market analysis, intelligence products, and consulting services.
- Pat Ford HealthCare Consulting (PFHC)
- Helps organisations develop strategies to prepare for NCQA surveys and analysis of HEDIS measures.
- Acumetrics
- Specialises in statistical analysis, study design, NCQA and HEDIS preparation, HEDIS audit, and black box testing.
- FileView
- Managed care services, utilization management, and utilization review.
- Healthcare Systems Executive Consulting
- Offers healthcare consulting services including detailed product requirements and strategic planning.
- Chapin Revenue Cycle Management
- Collects managed care or insurance accounts for hospitals. Major services are audit and recovery, accounts receivable outsourcing, and appeals for denied claims.
- Crum, John MD
- Health care consultant in medical management and e-health, also provides interim medical director, expert, and medical review services.
- Olympic Health Management Systems, Inc. (OHMS)
- National healthcare consulting practice, systems administrator, and major player in the medicare select industry.
- Medical Development International
- Provider of contracting, management, and administration.
- Campbell & Associates, Inc.
- Group of independent managed health care experts who have been in the international managed health care industry frontlines for many years
- Managed Care Services Group, LLC
- Specialises in delivering decision support products and services for the health care industry.
- Silberg & Associates
- Specialise in managed care, contracting, and compensation models.
- SynerMed, Inc
- Providing managed care services to medical groups, IPAs, MSOs, hospitals, health plans, and employers.
|
