Innovative Healthcare Consulting

Mile High Healthcare Consulting is here for all your consulting questions and support around health care policy, data integrity and governance, provider network reimbursement models, risk, quality, HEDIS, Stars, physician coding, provider education, and caregiver identification and engagement.

Everyday we are impacting and innovating with providers, health plans, and vendors around their vision for:

Medicare Advantage

Commercial, including Exchange

Managed Medicaid

Traditional Medicaid

Traditional Medicare

Everyday we are impacting and innovating with providers, health plans, and vendors around their vision for:

  • Medicare Advantage
  • Commercial, including Exchange
  • Managed Medicaid
  • Traditional Medicaid
  • Traditional Medicare
We are your partner, subject matter expert, designer, assessor, and implementer of innovative approaches, new business models, governmental policy interpretation and health care operational excellence.
OUR FOCUS

We are passionate about and experts in:

  • Regulatory policy interpretation and implementation
  • Provider Network Design and Reimbursement
  • Population Health
  • Value Based Care
  • Risk Adjustment
  • Quality (HEDIS, Stars, QRS, and Medicaid)
  • ACO contract analysis, negotiations, and performance

OUR FOCUS

We are passionate about and experts in:

  • Regulatory policy interpretation and implementation
  • Provider Network Design and Reimbursement
  • Population Health
  • Value Based Care
  • Risk Adjustment
  • Quality (HEDIS, Stars, QRS, and Medicaid)
  • ACO contract analysis, negotiations, and performance

WHO WE SERVE

Our partners in transforming healthcare include

health-plans

Health Plans

providers

Providers & Health Systems

payer-provider2

Vendors to Payers & Providers

life-science

Life Science