|
ACA Realization
Most plans are focused on understanding and preparing to comply with Reform mandates. Beyond compliance, there are policy and operational decisions that must be made to ensure that plans stay relevant and financially viable in a post-Reform environment. Key areas that must be addressed include:
 | MMLR |
| ACOs |
| Exchanges
|
| Stakeholder Centric Servicing |
We have developed Nolan Practices and other tools to help organizations determine how they should approach key aspects of reform and to develop operational blueprints for success in a post-Reform environment
Government Programs Optimization
Plans who actively manage the revenue cycle associated with Medicaid and Medicare programs can improve financial performance by 2-5%. We have developed Nolan Practices to support key activities, including:
| Enrollment Processing
|
| Member and Payment Reconciliation
|
| Revenue Risk Management
|
| Pay for Performance
|
| Priced Encounter Submission
|
| Rate Setting |
We can quickly help organizations understand where they are either missing or deficient in key activities as well as measure their overall revenue management processing maturity. Our offering is designed to improve financial performance.
|
