healthcare management consulting

 Aspira Health Global is a healthcare services and management company that provides management consulting, healthcare services, technology solutions, tools, and resources that supports the improvement of the healthcare delivery system for Employers, prime contractors, Payers, Providers and other organization types. We improve clinical outcomes over 42%, reduce total healthcare cost, improve quality healthcare performance, and improve the health & wellbeing of the members we serve.   

 We have over 30 years of executive healthcare management, consulting, strategic planning and program development and management on a national scale.  Our experts will guide you and help you to develop your customized strategy and programs to improve your healthcare delivery system, and improve the health & wellbeing of your staff and the people you serve. 

The Aspira Technology team and partners have the strategic advisory expertise, healthcare analytical capabilities and operational experience to help our clients determine what insights they should derive from their analytics, what actions they should take to drive improvements, and how they should prioritize and plan for success.  Our solutions include: clinical integration, health data analytics and modeling, provider and patient portals, virtual health and more.  

We are a high-performance healthcare management and consulting company with 30 years’ experience in Managed Care, Healthcare Operations, Technology Solutions, and Provider Payment Strategies. Our Vision is to improve the healthcare system by creating a more efficient, cost effective, clinically focused delivery system with our creative process improvements, efficient management, and innovative technology solutions. 

We currently manage nationally over 20 hospitals, we have opened 10 new hospitals, and other provider types, totaling over 1,000 contracts and credentialing over 300 hundred providers with all Payer types (commercial, MCO’s, Medicaid, Medicare). We have developed and managed provider networks for United Healthcare, Scott & White Health Plan and our own Aspire High-Performance Provider Networks on a local, statewide, regional or national scale.

Our expert consulting team develops, analyzes, negotiates, and manages payer contracts, terms, and provider payment structures for any type of Healthcare Provider (Hospitals, Physicians or Ancillaries), Health Plan, Employer, ACO, Network, TPA or related business. Our pricing options are customized to ensure our clients have a significant return on their investment. We offer flexible options to our clients as a service that supports your contracting or managed care team, or we can be your Managed Care Director or Payer Contracting Manager.

Our highly experienced team members facilitate contract negotiations, conduct legal and financial analyses to determine the feasibility of each managed care contract and reimbursement terms. We also provide additional contracting support, direct employer contracting services, technology solutions, contract performance monitoring, contract management, workflows for the contract approval process and credentialing services. 

We will work with our client to develop a customized strategic plan and Managed Care System or “MCS” is the system that provides for the coordination of all functions related to the reimbursements received from Payers and the alignment with them.  We group each function of the MCS into the following categories: a) alignment, relationship, collaboration, b) contracting, c) credentialing, d) medical management, and e) revenue cycle management.  

Payers are defined as any entity that is the source of financial payment for medical services rendered by any healthcare provider or delivery system. We group each Payer by product type: a) Commercial b) Medicare c) Medicaid d) Tricare-Military. Our goal is to establish the Managed Care System “MCS” successfully and profitably to optimize the reimbursements, increase authorizations and decrease denials from all Payers at all locations.  

The MCS coordinates and manages all functions related to these goals.  As a result of these operations and process improvements, we hope to achieve an increase in our reimbursements from all Payer sources system wide; the assessment process will indicate percentage increase goals.