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  • Services We Offer

  • Contract Review

    We review a managed care agreement from an executive perspective as well as how it will be implemented and how it will affect the various departments of your organization.

  • Contract Negotiation

    IMCS can participate in the actual negotiation of the language and financial terms of the managed care agreement to the extent the client sees as appropriate.

  • Physician Reimbursement Analysis

    IMCS can take the guess work out of deciding if an offer from a managed care organization is a good one, or if the offer will will perform at the same level as your other managed care contracts.

  • Clinically Integrated Networks

    Both payors and providers are merging or coming together in new alliances to both leverage their position and better serve their communities. IMCS has become a leader in working with both hospitals and physician groups in their efforts at clinical integration.

  • IMCS Managed Care Network

    IMCS Managed Care Network is a new concept in payer contracting and assistance that combines expertise with affordability, specifically designed for those providers (including critical access hospitals) who, out of necessity, do their own contracting.

  • Director of Managed Care

    Reporting to the CFO or other appropriate administrator, we can be the face of your Managed Care department, for hospitals or physician group on either an interim or long-term basis.

  • Enhancing Profitability - The IMCS Advantage

     

    Providers continue to lose millions of bottom line dollars every year simply because of ineffective contract management, or agreeing to contracts that are not in their best interest. Often, even when the fee schedules appear positive, language in the agreements allow the payors to reduce and deny payments unexpectedly.

    IMCS has both the breadth of experience and depth of knowledge to navigate through the often troubled waters of contract analysis, negotiation, and revenue capture. We specialize in building custom contract models that reflect the culture of each provider organization, working effectively across all levels of the organization, from support staff to the senior leadership.

    • Are you getting the best possible rates particularly for the core services that you provide?
    • Are contracted rates/reimbursements being fully realized?
    • How much revenue do you need from Managed Care to meet your revenue budget?
    • What combination of higher rates and greater utilization do you need and when do those increases need to be realized?
    • Do you have methodologies in place to monitor internal and external trends to ensure rates and reimbursements are appropriate and at the maximum allowable rate/standards?
    • Do you have effective tools and metrics to efficiently manage your contracting functions?

    Innovative Managed Care Solutions is your Industry Leader in Provider Advocacy and Managed Care Contracting. We are here to serve you.

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