Healthcare organizations today contend with an environment of rapid change and incessant ambiguity. Increasingly complex regulations. New payment methods. Risk-sharing arrangements. Ongoing battles over healthcare reform. The rise of consumerism. Constantly shifting demographics.
In addition to providing quality care, healthcare leaders now must build digitally enabled and flexible operating models to improve organizational agility, overcome complexity, and sustainably reduce operating expenses. They must synthesize technologies with legacy systems to propel performance—today and tomorrow.
Succeeding in today’s dynamic marketplace means adopting a new approach. In an age of increasing uncertainty, we help companies transform to thrive today and better compete in tomorrow’s arena. We unlock value in the form of shorter cycle times and better resource utilization and retention.
Identifying and maximizing efficiency, including streamlining core process from member eligibility, enrollment, and prior authorizations to targeted clinical programs
Driving efficiencies throughout the transaction and payment process, including claims payment & appeals, payment integrity, medical coding / risk adjustment, and STARS / HEDIS
Designing experiments in value-based contracting, population health management, and coordination of care followed by standing up model offices and scaling to full implementation
Helping clients maximize their internal and external resource utilization, from network optimization through clinical recruiting, credentialing, and enrollment
Crafting digital strategies responsive to the changing reimbursement environment and changing healthcare consumer expectations
Streamlining operations and removing redundancies in service centers, back office, data centers, and clinical settings while facilitating “one company” cultural alignment
"SSA & Company consultants spent time understanding our numerous business applications to identify weaknesses, flaws, and manual steps, and homed in on the highest impact areas to mitigate those deficiencies. SSA & Company’s execution of Robotic Process Automation yielded rapid results."Vice President, Leading Healthcare Services Company
