Why Do You Need Us?
New Responsibilities: The Changing Face of Managed Care
As we know, the delivery and reimbursement of healthcare services have changed dramatically in the last twenty years. Provider institutions have gone from being responsible for the direct delivery of quality care to delivering care according to the strict standards and dollar limits imposed by managed care organizations and regulatory authorities.
Most recently, managed care companies are becoming much more selective in their business choices, partly because margins for managed care have declined significantly. This leaves many provider organizations in the position of doing it all: delivering, managing, and reporting on care, as well as assuming some of the financial risks, demonstrating quality of care to regulators and purchasers, and improving internal efficiency to cover real costs.
These trends in medical models of care are now finding their way into human and social service organizations as fixed and grant funding dwindles. Agencies with excellent credentials as top level health and human service providers are now required to build and maintain infrastructures that were formerly seen only in Fortune 500 corporations. The breakeven point moves higher and higher, while reimbursement becomes harder to secure.
We’ll Help You Go From Reactive to Proactive
Health and human service organizations are being bombarded with purchaser demands to meet new regulatory, reporting and service requirements—often without additional funding. It’s hard enough just keeping up with these additions. Survival, not delivering high quality care, can become the focus for many agencies, and nobody wins. BEFORE YOU GET TO THAT POINT SHCC can help you go from reactive to proactive by looking to your bigger picture for options.
A good program
is one that satisfies clinical, fiscal, AND operational standards.
SHCC Offers Solutions That Address Causes, Not Just Symptoms
Few of the challenges your organization typically faces are solely programmatic or fiscal or operational. Even a problem that looks fiscal often turns out to be grounded in operational and program service issues, and vice versa. SHCC brings program, fiscal, and administrative managers to the same table to craft solutions that are satisfactory to—and owned by—all departments.
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