Our experience in quantitative financial analysis entails:

- Analysis of capitation rates for Medicaid, Medicare, and commercial programs
- Development of fee schedules
- Review of actuarial capitation calculations
- Analysis of monthly claims data

We have developed, in conjunction with clinical staff, disease management protocols for Medicaid, Medicare and commercial populations. Specific protocols were developed for substance abuse, cancer, heart conditions, and obstetrics.



 

 

 

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