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Whether you are performing these functions internally or using a third party, an independent review of this process can be very valuable. HORNE Health Care Services has the experience to analyze your claims adjudication process. Feasibility Studies The key to success in a business venture lies in the planning. Part of the planning process that is crucial to the success of your business venture is assessment of the feasibility of such a venture. To make a complete assessment of the overall feasibility of your project, you need a team of experienced professionals to provide information on the threats and opportunities you might face. HORNE Health Care Services can assist you in this critical stage of business development by providing you with answers concerning your questions on the feasibility of your project and recommendations for making your venture a success. Our feasibility studies include a complete analysis of your objectives and assumptions, analyzed in relation to the market in which your business will operate. As an end result, we provide you with written reports summarizing our findings and recommendations. Most importantly, our professionals come from a variety of disciplines, including taxation, assurance services, management consulting and financial planning. We strive to assemble a complete team of professionals to provide you with accurate and useful information to help you make critical decisions. Marketing Physician specialists have opened practices in virtually every market in the country – cities both large and small are inundated with physicians. The competition for patients and managed care contracts is fierce and unrelenting. In this type of environment, medical practices are learning the advantages of establishing and implementing a marketing program. We recommend an initial Marketing Plan that assists your organization in setting goals, establishing strategies, defining which communications tools work in your market, and establishing an annual budget. HORNE Health Care Services can assist with implementation of marketing activities or we can train your staff to implement the marketing program. Services include:
Strategic Planning A Strategic Plan helps your organization define its direction in an ever-changing environment. Strategic planning empowers you to take control of your future by setting goals and objectives and following them. HORNE Health Care Services can help you develop and navigate a path for change and growth by engineering a tailored strategic planning process that includes:
Building consensus and focus within your organization is vital to future success. By facilitating an off-site retreat with your physicians, stakeholders and administration, we can assist you in addressing difficult issues, identifying opportunities and moving ahead progressively to compete in the marketplace of the future. We follow up the retreat with a detailed Plan of Action that serves as a guide to keep you focused on your goals. As the market continues to change, you will have to be agile to capture new opportunities. While the Plan is a future blueprint, it does have to be flexible enough to meet the demands of the economy. Therefore, we also recommend a six-month follow-up consultation to review the status of the plan, make needed changes, and move forward with continuing implementation.  |
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The process for adjudicating medical claims has grown increasingly difficult in recent years. At the same time, many health care organizations have entered risk sharing agreements and assumed claims management responsibilities.