Programs

  • Quality Improvement in Healthcare

    QUALITY IMPROVEMENT STUDIES ARE OUR QIN/QIO CONTRACTS. QIN/QIO ALIGNS WITH THE DHHS NATIONAL QUALITY STRATEGY INCLUDING BETTER CARE, BETTER HEALTH AND LOWER COSTS, PREVENTION AND POPULATION HEALTH, EXPANDED HEALTH COVERAGE AND ENTERPRISE EXCELLENCE. WE FOCUS ON BEHAVIORAL HEALTH AND OPIOID MISUSE; PATIENT SAFETY, CHRONIC DISEASE MANAGEMENT, CARE TRANSITION, NURSING HOME QUALITY.
    Geographies
    Not indicated
    Dates
    Jul 1, 2022 – Jun 30, 2023
    Source
    990
    No causes provided
    No populations provided
    –
    $3.8M

  • External Quality Review for Medicaid

    EXTERNAL QUALITY REVIEW - AUDITS MANAGED CARE HEALTH PLANS TO DETERMINE COMPLIANCE WITH CMS AND APPLICABLE STATE REQUIREMENTS AND PROVIDES QUALITY IMPROVEMENT TECHNICAL ASSISTANCE. FEDERAL REGULATIONS REQUIRE THAT STATES OPERATING MEDICAID MANAGED CARE PROGRAMS CONTRACT WITH AN INDEPENDENT EXTERNAL QUALITY REVIEW ORGANIZATION (EQRO) TO ASSESS THE QUALITY, ACCESS AND TIMELINESS OF HEALTH SERVICES PROVED TO MEDICAID BENEFICIARIES.
    Geographies
    Not indicated
    Dates
    Jul 1, 2022 – Jun 30, 2023
    Source
    990
    No causes provided
    No populations provided
    –
    $9.7M

  • Healthcare Fraud Detection Services

    PAYMENT ACCURACY - CONSULTS AND CONTRACTS WITH FEDERAL, STATE AND PRIVATE ENTERPRISES TO DETECT AND INVESTIGATE HEALTH CARE FRAUD, WASTE AND ABUSE THROUGH PREDICTIVE MODELING, DATA MINING AND DATA ANALYSIS.
    Geographies
    Not indicated
    Dates
    Jul 1, 2022 – Jun 30, 2023
    Source
    990
    No causes provided
    No populations provided
    –
    $26.6K