Managed Care

Services

SHA understands the many interrelationships among managed care, patient care and practice management. We provide our clients with the tools to analyze managed care contracts and to examine the impact of those contracts on the financial health of their practices. We work with clients to develop utilization management programs.

Closing Care Gap
Measures

Improve health plan scores and financial performance by meeting HEDIS and STAR measures. We partner with specialists and ancillary teams to close care gaps before they become an issue.

African American Doctor

Medicare annual Wellness Visit

We want to encourage your organization to promote Medicare Annual Wellness Visits (AWV), as from the patient perspective they promote healthy habits, and lead to disease detection.

Benefits of Offering Annual Wellness Visits

  • Increases revenue by identifying additional services
  • Captures yearly ICD-codes
  • Pharmacy cost-saving opportunities
  • Risk reduction and patient safety
  • Decreases hospital re-admission rates
  • Patient loyalty

$170

is the average reimbursement for the initial AWV

$133

is the average reimbursement for the subsequent AWV

$300

is the average reimbursement for all services that arise from the AWV

Preventative
Screening Assessments

  • Smoking Cessation
  • Alcohol
  • Depression
  • Obesity
  • Advanced Care Planning
Female Doctor

Chronic Care Management

Chronic Care Management can provide significant additional revenue for your practice. SHA's CCM program improves patient outcomes and provides your practice with significant revenue streams.

Grow your practice with SHA

Let's discuss a customized solution to
help your practice grow