The professionals U.S. Preventive Medicine^® have decades of experience in commercial and government programs as well as health plan, integrated delivery organization, hospital and physician practice management. In many cases, our work was recognized for the high quality of the work achieved.

By working with you on a consulting basis, we can help you improve your health services department with services such as preauthorization, utilization management, case management, quality improvement, data analysis, contract and rate analysis including capitation, as well as ensure compliance with NCQA and other surveying organizations.

Examples of consulting work include: 

• Assisting an HMO with Department of Health Issues and operational performance.
• Reviewing the operations of the medical services department of a TPA, developing appropriate Policies and Procedures, reports, training staff and assisting with identifying and hiring staff.
• Writing an HMO application and developing all start-up Policies and Procedures.
• Developing a National Directory of Rural HIV/AIDS providers.
• Analyzing two years of state Medicaid claims data on more than 600,000 Medicaid lives to determine chronic illness incidence and costs.