Healthcare Consulting

During the past twenty years, Capstone has helped hospitals, physicians and employers position themselves to address the various issues associated with managed care. Whether it be organizing associations, developing case management structures or assisting with pricing and fee levels, Capstone provides the insight, experience and expertise to guide you to meeting your objectives and achieving successful outcomes.

 

Managed Care will continue to evolve and the medical community needs to be one step ahead of the trends. Considering the consolidation of the insurance industry and managed care organizations, being proactive and developing an effective forward strategy has never been more important.

 

  • Capstone is leading edge as it pertains to medical network contract negotiations, particularly as it pertains to private medical networks.
  • We have developed leading edge provider contracting models that assure reimbursements are at appropriate levels and all outlier occurrences are adequately addressed.
  • Assisting IPOs and PHOs is our specialty. We work directly with marketing committees and boards to evaluate and quantify all possible new commercial or private contracting opportunities.
  • Capstone has vast experience developing early detection, disease and case management techniques and services, particularly in the Oncology and Cardiovascular specialties.
  • We currently sit on hospital and clinic advisory boards to assure that we always stay on the leading edge of hospital and physician business development forward strategies.