• Acumetrics
specializes in statistical analysis, study design, NCQA and HEDIS preparation, HEDIS audit, and black box testing.
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• Axiom Systems, Inc.
software programming, systems integration, and business consulting services.
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• Best Health Care
health care management services company specializing in general and specialized managed care.
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• 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.
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• Crum, John MD
health care consultant in medical management and e-health, also provides interim medical director, expert, and medical review services.
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• Donlon & Associates
actuarial consulting firm specializing in strategic planning advice for health care provider and employer clients for design, pricing, funding, and administration of managed care plans.
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• Emron Inc
health care research and communications company focusing on managed care pharmacy.
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• FileView
managed care services, utilization management, and utilization review.
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• GHS
turnkey health risk stratification systems give health providers concise, validated risk probability and risk factor information on each managed care enrollee.
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• 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.
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• Greg Bourke & Associates
research and publishing company offering market analysis, intelligence products, and consulting services.
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• HMS Associates
specialists in network design/formation, managed care, contract development/negotiation, capitation/fee structures, certificates of need, community health priority identification, and behavioral health.
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• Horizon Mental Health Management
Provides psychiatric contract management services to hospitals. Also does physician, nursing and medical director recruiting.
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• Innovative Care Management
provides healthcare management services, including medical case management, precertification, and a prenatal support program.
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• Integration Resources, Inc.
specializes in medical imaging and information systems, offering a range of RIS and PACS planning, cost justification, contracting, and project management services.
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