INCREASE COST SAVINGS 

IMPROVE QUALITY

Improve Medical Management

Program Effectiveness

Improve Medicare

and Medicaid Reimbursement

Improve Quality 

Metrics

Building positive relationships with medical providers and health plan members is critical to the success of health plan customer satisfaction and business retention.  Success means implementing effective and efficient health care services programs that respect and value the health plan members and their providers.

 

IMPROVE MEDICAL MANAGEMENT

PROGRAM EFFECTIVENESS

Optimize integration of medical, behavioral health, and pharmacy programs

Realize cost savings by developing a finely integrated health care management system with established workflows that effectively connect medical, behavioral health and pharmacy management services.

Develop innovative approaches to address high cost and chronic medical cases

Establish connections with preferred delivery systems, community outreach programs, house-call provider groups,  care coordination and palliative care services.

 

IMPROVE MEDICARE AND MEDICAID REIMBURSEMENT

DEVELOP INNOVATIVE APPROACHES TO ADDRESSING HIGH COST AND CHRONIC MEDICAL CASES

Establish connections with preferred delivery systems, community outreach programs, house call providers groups, palliative care services and care coordination services. 

Implement interventions to improve your Medicare Stars ratings

Develop the right set of outreach and health care quality outcomes interventions to improve Medicare Star ratings to drive increased revenue and grow your business.

Improve quality processes and outcomes for accreditation

Build health management outreach and intervention programs that drive quality metrics for accreditation and preferred choice by consumers.

 
 

CONTACT US

ADDRESS: 11 Durango Ct, Aliso Viejo, CA 92656

TEL: 971-219-6579 |  cmera@meraconsult.com

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