The Paratio Group was formed to assist both providers and payers in all aspects associated with managed care.  From high-level strategic planning to down-in-the trenches tactical execution, the Paratio Group can add a seasoned dimension to your existing managed care resources, provide interim leadership, or support existing functions on a project-specific basis.

A good way to describe the Paratio Group's resources is to consider the following:

1. Do I need to develop a formal managed care strategic plan or revisit my managed care strategy?
2. Do I have a written pricing strategy?  Can I effectively compute anticipated revenue yield PPD and aggregate? 
3. Am I prepared to participate in emerging forms of managed care such as ACOs, Exchanges, Bundled Payments, and the like?
4. Do I have a properly structured operational platform on which to execute strategy?
5. Are my managed care agreements optimally structured?  Are they equitable?  Am I able to administer them without fear of technical default?
6. Is my provider network properly configured?  Have I minimized the likelihood of out-of-network leakage?
7. Do I have the best platform on which to negotiate single case agreements?
8. Can I grow my company as aggressively as I want without having to pause to restructure my managed care agreements?
9. Am I properly and aggressively appealing authorization denials on medically appropriate cases?
10. Am I properly and timely appealing retrospective claims denials - whether in part or on the whole?
11. Am I appropriately declining post-claims audits and for those contractually or statutorily permissible, am I conducting defense audits?
12. Do I have a mechanism for the ongoing training of my internal employee stakeholders as to managed care trends and dynamics?

These and other aspects pertaining to the constantly evolving field of "managed care" can be supported.  We are at the ready to discuss your specific needs.