The current struggle within the healthcare industry to maintain control over increasing costs is a dominant issue for many constituents, including managed care organizations, government authorities, industry suppliers, providers and physicians.  The key challenge remains organizing and optimizing the use of existing resources and information.

Coming to grips with managed healthcare, as many payers and providers across the country have discovered, essentially means learning how to manage change.  In order to ensure their financial well-being, organizations must not only shore up their competitive positions but must often form new alliances with others in the industry if they are to survive.

At HES we understand that the scope and character of managed care varies widely from market to market – and that even a national player must adapt to the diverse ways it delivers care within specific states or regions.  Additionally, we have a strong command of the managed care industry and its impact across the healthcare delivery system.

Our managed care staff is comprised of professionals previously employed by large national insurers, healthcare provider systems, health insurance advisors, as well as larger provider-sponsored health plans.

We are committed to work closely to devise the approach to managed care that’s right for your organization and for you region.

We have significant experience in developing and working with individual providers and payers, provider-sponsored health plans, venture regional arrangements between providers and payers, state-sponsored Medicaid and Behavior managed care programs, Medicare risk and commercial risk products.

As various market forces related to managed care continue to reshape the healthcare industry, we continue to help clients not only survive but prosper in today’s turbulent climate.  Managing the change that comes with managed care is not always easy; at HES we know that as well as anyone – and better than most.  But we also know how to get it done.

WHAT HES CAN DO FOR YOU

Our managed care services include the following: