Our mission is to enhance our clients' managed care reimbursement. Our goal is to closely align our incentive with our clients', often, a portion of our fees are at-risk. We combine an innovative approach with experience and a commitment to results...our clients' advantage, maximized reimbursement.
Case Studies
The following case studies highlight our ability to maximize our client's profits by advising them through an oftentimes frustrating, esoteric process:
Urban Health System
The healthcare system is one of the largest providers of health care to a densely populated urban center and its surrounding communities. Its hospitals provide a comprehensive range of services - from primary and emergency care, to such specialized services as minimally invasive cardiac surgery, state-of-the-art cancer care, mental health care, HIV research and rapid testing, and breast cancer screening and treatment.
Specialty Physician Corporation
The provider is a large specialty physician corporation, recognized by leading industry analysts for its excellence in clinical outcomes. Its coordination of care in the region results in savings for all managed care payors that it contracts with. However, its reality is one of continuous cost increases that are directly related to the delivery of service to HMO and PPO subscribers. In order for the physicians to continue to deliver and ensure superior care and attract top physician talent, reimbursement had to be maximized. Prior to partnering with Carlisle's Managed Care Contracting Division, the payor's reimbursement was not representative of the participating physicians' value in the market, nor the level of care being provided to the payor's subscribers.