Tillit Consulting assists institutional providers as well as professional provider groups with issues related to managed-care contracting. Our services apply to the Medicare, Medicaid, and commercial lines of business and include assistance such as:

• Quantification of fee schedule or inpatient reimbursement changes,
• Development of alternative reimbursement structures,
• Assessing equivalency of managed care reimbursement relative to fee-for-service reimbursement,
• Evaluation and/or development of risk sharing contracts,
• Capitation sufficiency review or capitation development analysis,
• Hospital utilization benchmarking (e.g. LOS by DRG),
• Medicare Advantage financial analysis support,
• Auditing managed care payments to ensure that they are consistent with contract provisions,
• Working with payers to develop and obtain timely and actionable reports.