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Today’s ever-changing and increasingly complex healthcare marketplace consistently presents new challenges for providers, payors and investors alike. Recognizing the unique needs and broad range of issues each of these groups face, Sinaiko’s deep industry experience and ability to assist clients with multidimensional issues leads to real problem solving and solutions for the broad range of issues our clients face.
Whether evaluating new or existing service lines or seeking data and analysis to determine the quality of an investment opportunity or pricing strategy, today’s healthcare and financial organizations rely on strategic analytics to empower key business decisions. Our consultants design customized solutions and produce analyses that not only provide this information but interpret it in a way that makes it relevant to each organization’s unique goals, challenges and decision-making.
From performing due diligence and financial analysis to developing strategic business plans, or analyzing payment and revenue sources, the experts at Sinaiko have worked with large provider systems, academic medical centers, rural hospitals, health plans, lending institutions, venture capital and private equity companies. Our industry knowledge, research capabilities, deep understanding of healthcare operations, analytical expertise and strategic planning skills have allowed us to provide clients with the information and guidance they need to succeed.
Sinaiko also maintains a unique database of paid claims data that can be an invaluable tool for a wide range of analyses and problem-solving assignments involving pricing, managed care contracting, claims payment disputes and strategic decision-making.
Our healthcare-specific clinical, financial, and operational experience allow us to create and deliver strategic initiatives, industry analysis, targeted metrics and data models which offer a level of dimension and accuracy that is far beyond what a non-healthcare analytics firm might otherwise offer.
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Strategic Analytics Project Types:
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Investor Services
Bridge between sources of capital and healthcare operations
Project Types: Due diligence, revenue/reimbursement analyses, credit rating improvement, business plan development, regulatory impact analysis, forecasting, capital budgeting, funding strategies, ROI analysis, and risk assessment
A lending institution wished to underwrite the loans for a provider of healthcare administrative services. Sinaiko performed due diligence of the organization’s finance, operations and regulatory compliance and identified deficiencies in the organization’s billing processes that constituted substantial risks to government sanctions. The lender and company created a plan to address the deficiencies, and subsequently updated the pro forma financial statements. The result was an agreement to increase the rate of borrowing.
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A regional health system asked Sinaiko to assist its affiliated medical group and hospital in optimizing its participation in various CMS and private pay-for-performance systems. Sinaiko developed financial allocation/payment methodologies for bonus payments and practice income based upon pay-for-performance criteria. Additionally, Sinaiko designed and implemented clinical and process improvement activities, and created a system-wide quality program that included formal processes, policies, and procedures related to quality of care. Finally, Sinaiko tracked the quality indicator results and pay-for-performance payments including the generation of ongoing reports. The new quality and reporting initiatives helped increase the quality of care and quality incentive payments.
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Leadership Transition
Immediate interim executive staffing with recruitment and training support to ensure smooth transition to newly hired senior leadership.
Project Types: Executive and senior level positions for finance, accounting, health information management, compliance, patient financial services, revenue cycle, reimbursement, business office, payor contracting, audit, case management, risk management, patient safety, performance improvement, network development, decision support, admitting, coding and medical records.
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For more information about Sinaiko’s strategic analytics consulting services, please contact Omid Toloui at omid.toloui@sinaiko.com.
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