Services
Adelanto focuses on helping healthcare providers identify innovative solutions in today’s challenging Medicare & Medicaid reimbursement environment. In order to fulfill our Mission of delivering innovative solutions that improve access to care, we must help healthcare providers overcome current challenges, while also helping prepare them for the various challenges that may present themselves in the future.
To overcome and prepare for the future, the Adelanto Team:
- Focuses on community benefit and patient needs.
- Delivers tangible solutions to abstract risks.
- Monitors complex statutory and regulatory changes in Medicare & Medicaid.
- Creates innovative processes that measure internal financial risk under Medicaid regulations.
When can you benefit from Adelanto’s help?:
Healthcare providers can benefit from Adelanto’s work in a variety of different situations. Our cross-functional team of experts has the experience and the knowledge to help your entity navigate through the challenges you may currently face, and the unforeseen challenges you may face. Because our team includes former head government regulators, former top executives from both private and public hospitals and other leading strategic consultants, we are confidant we can lead your entity through just about any challenge.
Some of Adelanto’s most recent projects include helping healthcare providers on the following projects:
- Working with multiple private general acute care hospitals in Texas to access federal financial support under the Medicaid Upper Payment Limit Regulations.
- Conducting a data-mining project for various hospitals that improved internal financial efficiency and helped access additional financial support under the Medicaid DSH program.
- Leading initiatives that developed new non-for-profit entities that helped expand healthcare services to underserved patients in rural and urban areas across the State of Texas.
- Developed an assessment of demand for behavioral health services in Harris County.
- Prepared financial projections that measure and assess the potential impact of changes in the Medicaid DSH regulations.
- Worked with consultants and lawyers across the country to successfully negotiate a settlement of a CMS deferral of federal financial support.
- Worked with a children’s hospital to identify internal operational and financial efficiencies that will allow for them to receive supplemental payments under new federal regulations.
- Developed multiple databases that served as the basis for multiple hospitals to successfully appeal initial DSH payment estimates.
