Introduction

Progressive Healthcare's participation on clients' care management teams is synonymous with optimizing both health outcomes and cost. Our many care management projects show how simple changes in infrastructure, business models, and workflows can profitably achieve these goals. Recent projects include: 

  • Developing a heart failure program from protocol development through clinic implementation and pharmacy integration. The program improved both clinic outcomes and margins.

  • Converting a loose association of 175 PCPs and a hospital into a clinically-integrated network. After executing a direct contract with an employer, the CIN earned a $3 million gain-sharing bonus in the first year.

  • Leading the analysis for the turnaround of a provider-owned Medicare Advantage Plan. Within 18 months, the plan was profitable.