SERVICES

Why contract for eligibility services now? The urgency to ensure whether or not a patient is covered by a public program has never been greater. The federal government anticipates expanding coverage to millions of previously uninsured patients while cutting uncompensated care funds to pay for this expanded coverage. You need solutions now.

Why Consilium Health Group? Consilium’s principles have been involved from the outset in this current round of health reform advising state clients and designing outsourcing solutions to solve eligibility and enrollment challenges. We have taken that expertise and knowledge to design programs and processes uniquely fitted to the eligibility environment that health reform will bring with it.

Services Include:

Business Process Outsourcing (BPO) – BPO for eligibility and case management services with particular focus on Medicaid and the soon-to-be-created Health Exchanges.

Consulting – Consilium can consult with your organization on the technology, process, policy, and organizational aspects of the health care industry. We bring specific expertise in quality assurance for eligibility services, the financial return for accurate eligibility identifications, and process modeling.

Advisory – As businesses consider entering new markets, investing in a company or an acquisition, you will want to ensure that the financial, strategic, and market validation is strongly vetted. Consilium can help. Whether the task is market analysis, financial modeling, strategic planning or assist in the due diligence process, Consilium’s principles have considerable expertise across the spectrum of advisory services.

Consilium’s Value Proposition:

Consilium Health Group provides tangible return on investment to providers by ensuring that a greater number of uninsured are enrolled in appropriate public health care programs. Uncompensated care costs are decreased.