Managed Care Operations
DGA Partners helps smaller managed care organizations — PHOs, IPAs, small health plans and PACE organizations — make the most efficient use of resources in medical management, claims processing, financial management and market development. We help them address challenges in operations management resulting from their relatively small scale. Our services include:
  • Designing and implementing effective medical management interventions
  • Improving operations, including scheduling, staffing, authorization and claims processing and financial analysis
  • Training staff and providing interim management
  • Assuring that IT provides the business intelligence needed to support the operation, and developing reports to measure the performance of new programs
DGA customizes its solutions to the unique needs of each client. Some managed care organizations require sophisticated systems and approaches, while for others a simple approach is more cost effective.
 
“Our managed care, payer/provider operations are highly complex. DGA provided the hands-on expertise and judgment LIFE/UPenn needed to help tighten them up.” Wayne Pendleton, Executive Director LIFE (PACE) Program School of Nursing University of Pennsylvania

Learn about DGA’s Business Intelligence and IT services

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Redesigning a Utilization Management Program Planning for EMR and Related Systems Developing Data Transfer Standards for PACE Organizations Optimizing Performance for a PACE Organization

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John Harris, Principal Carole Graham, Manager 800-241-5268
Design: Aaron Design, Inc. | Implementation: Christopher D. Hunter