Services

SHP has built an extensive team that can provide the strategic plan you need for the future. In addition we have the answers to the daily questions you may have.  Our desire is to also support you with the proper tools to help you protect your business.  In brief, here are a few of the core services that SHP brings to your organization:

Managed Care Contracting Review & Negotiations

We begin with your current contracts and analyze your data. This is in order to develop a custom developed contracting strategy for your company.


Independent Physician Association Services (IPA)

SHP provides full management and oversight to Independent Physician Association (IPAs) clients of all types, including but not limited to:

  • Statewide IPAs
  • Regional IPAs
  • City-Specific IPAs
  • Single-Specialty IPAs
  • Multi-Specialty Groups

IPAs function as an extension of each individual member’s office. To that end, SHP manages the provision of managed care contracting, practice enhancements and education for our IPA clients. IPA’s we manage:


Accountable Care Organization (ACO) Management and Consultation

SHP provides consultation and ongoing management for providers interested in forming ACO’s.  Healthcare reform continues to unfold causing networks to transition away from traditional fee-for-service models. Consequently, SHP believes that providers have an opportunity to seamlessly transition revenue streams to align your organizational capabilities with the payment methodologies set forth from CMS & AHIP.  Thus an ACO provides a template for providers to contract with governmental and commercial payers in an evolving reimbursement landscape.  SHP recognizes strategic planning can be difficult as reimbursement methodologies continuously evolve, therefore we will work with you in tailoring a plan to develop a value based contracting strategy specifically reflecting the characteristics of your market.


Revenue Cycle Support

We offer a complete operational assessment in short, this includes charge master review, superbill review, POS collections training, and payer audits.

 


Provider Enrollment

SHP can assist you with every aspect of a practice startup from enrolling the physician with the health plans to setting up revenue cycle systems to ensure cash flow.


Performance Analytics

SHP’s Decision Support staff assists clients with financial and data analysis solutions. In summary:

  • Fee Schedule Analysis / Interpretation / Comparison
  • Paid Claims Analysis
  • Underpayment Review
  • Creating/Managing your budget, Proformas, Business Planning
  • RHC Clinic set-up/Conversion
  • Market Share & Contribution Margin Reports
  • Service Line Development
  • Lastly, Provider Impact

Clinically Integrated Network (CIN) Management and Consultation

Whether you are a hospital or physician provider, SHP can assess your infrastructure and gaps to attain a legal advisory opinion towards becoming / developing / succeeding as a Clinically Integrated Network.  For instance, we will work with your staff in assessing legal capabilities, IT infrastructure, Clinical Programs, Network Management & Operations, and Physician Engagement.  As a result, we can assess, create, or manage your CIN as you see fit.


 

If you have any questions regarding prospective services, please contact: Jessica Thomas at 912-691-5711