Medical Care

Organization

    Large Midwest Hospital

Challenges

  • Company wished to terminate participation in a joint operating agreement with a health alliance

Approach

  • Determine the dissolution value of Hospital
  • Provide assessment & opinion on calculation of termination value

Results

  • Court approved Hospital request for termination of their participation in the health alliance
  • Avoided liquidation of assets by redistributing the value to satisfy Hospital’s obligations to the Joint Operating Company

Organization

    Statewide Healthcare Coverage Provider

Challenges

  • Losing money in Medicare/Medicaid services
  • No direct profit/loss responsibility for Medicare/Medicaid business

Approach

  • Improve coordination of benefits and subrogation processes for medical & pharmacy services
  • Implement a closed formulary prescription program
  • Reduce in-patient utilization by 5%

Results

  • Realized potential forecasted savings of between $6.9M - $12.3M

Medical Care Professionals

Return to BBK Industry Expertise