The healthcare industry is making major adjustments and restructuring due to the ACA and the efforts to reshape it. The accountability, improved health outcomes and lower cost are huge undertakings if done one at a time. Now, providers must take on all three plus carry risk with numerous contracted risk-sharing programs. These new arrangements are similar to their forerunners such as the integrated delivery systems (IDS), independent practice associations (IPA), and the provider health organizations (PHO) of years ago. Now we have the Accountable Care Organizations (ACO’s), Bundled Payments (BPCI), Medicare Advanced Payment Model Programs and the list of programs goes on.
With 30+ years’ experience, Catastrophic Medical Excess (CME) has the experience and relationships to work with you to establish the appropriate excess programs.
Whether it is Medicare, Medicaid, SCHIP, Commercial or carve-out, financial integrity must be maintained to assure vibrant operations and outstanding care for your patients. We look forward to helping you maintain a solid base from which to fulfill your mission!
Bundled Payment Coverage
Medicaid Managed Care
And whatever is next…..
We provide solutions ranging from effective population health all the way through coverage for advanced specialized treatment.