Providers

Providers Need Specific Clinical and NonClinical Solutions

We listen to what clinical healthcare providers say about their productivity and the value of their time. Our focus is on you.

From physician practices to healthcare networks, CaduceusHealth® aligns best practices with physician-driven strategic management and sophisticated technology. Resulting in Financial Connectivity to Your Patients℠. Our tools implement workflow and processes that improve collections, support front desk administration, relieve the stress of uncovering and processing claim denials, banking reconciliation and coding discrepancies.

Our integrated management approach understands that your business might involve specialty practices and vendors. We work collaboratively and dissect both clinical and nonclinical issues and make them seamless, transparent and simplified.

Working Together Collaboratively with our Team of Specialists

• Data Aggregation: Claims, EHR, and other transactional data for prospective analytics.

• Attribution: Health Plan Member Reconciliation; Clinician Panels; Specialist-Attribution models

• Clinical Network Insights: Leakage; Steerage; Capacity; Narrow Networks; Patient Capacity

• Benchmarking + Workflow: Clinician Wellbeing/Burnout; Practice Efficiency; Practice Variation

• Predictive Analytics: PMPM Savings; Risk Stratification; Risk Scoring; Risk Adjustment

• Quality Measurement: Chronic Disease; Behavioral Health; Whole Person Care; Kidney Health (CKD + ESRD); HIV; Cardiology

• Reporting and Submission of MIPS; Macra; QCDR; MSSP; Medicare Stars; UDS; HAB

• Modeling of Medicaid and Medicare change impact

CaduceusHealth® will assist with executive and administrative functions such as:

• Policy decisions and compliance review, providing an executive liaison for governance

• Reviewing financial and operational reports

• Managing payer contracts and adherence

• Coordinating training strategy and attending performance reviews