Toney HealthCare Consulting provides advisory services, hands-on leadership and staffing in clinical operations, regulatory and compliance, quality, and accreditation for health plans. Our team of over 250 professionals are former leaders and operators from health plans. We bring best practices across the spectrum of healthcare services and population types (Medicaid, Medicare, SNP, Commercial), especially those being served by ACAP plans. Our services include:
A dedicated, non-delegated team assumes responsibility for a specific healthcare service for a LOB or a defined population that may be new, expanding or underserved. The team works on the plan’s system, follows the plan’s policies and procedures, and is trained through the plan’s curriculum. We support SNP MOC 2, Utilization Management, Case Management and Population Health Management.
Consulting and Process Optimization
Advisory services in the areas of Strategy and Clinical Operations, Regulatory and Compliance, Quality and Accreditation. Other consulting services include Payment Integrity, Clinical Content and Program Development, Educational Training Programs and more.
Short term clinical and administrative leadership, management and operational support of essential health plan functions such as Utilization Management, Case Management, Quality Improvement/Assurance, Accreditation, medical directorship and overall plan leadership (CMO, COO, etc.).
We have been proudly serving ACAP plans for over 5 years.
Please visit www.toneyhealthcare.com for more information.
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16629 Sedona de Avila
Tampa, FL 33613