Unicorn Healthcare Solution

Healthcare service

Unicorn provides business solutions for healthcare organizations. We focus on these key, high-impact service areas:

Patient Care Strategy & Program Development

Organizations interested in pursuing an Patient Care strategy face many challenges that range from program initiation and infrastructure development to provider engagement.  Organizations find themselves asking important questions pertaining to the following five key categories:

Governance:

  • How do you build an PCO that manages risk while balancing the interests of the various organizations and individuals involved?
  • How do you create buy-in for a shared vision and commitment?

Coordination of Care

  • How do PCOs begin to coordinate care across the patient delivery continuum and focus on optimal patient care outcomes while managing costs?
  • What programs are important in order to manage costs and improve quality of care?

Physician participation:

  • How do you solicit physician support in order to incorporate new delivery care models? 
  • How do you align provider incentives with PCO goals?

Technology:

  • How do you adopt health information technology to support the PCO’s care coordination goals?
  • How do providers track client outcome data?
  • How do you facilitate the exchange of data across care settings and perform quality reporting to capture the required data for fulfilling PCO objectives?

Patient engagement:

  • How do you educate patients on the benefits of coordinated care?
  • How do you engage patients within the care continuum?

Solutions

Unicorn works collaboratively with Healthcare organization’s clinical and management leadership to develop build an PCO infrastructure that meets the internal and market-driven cultural and political factors while addressing PCO legal and regulatory requirements. Our solutions focus on planning, designing, and launching an PCO utilizing a proven methodology:

  • Shared governance models:  Multidisciplinary governance focuses on program performance, risk stratification, data management and clinical pathways
  • Identify PCO risk stratified populations:  Uses data to identify patients in risk categories in order to evaluate cost
  • Build care management programs:  Establishes clinical programs around care transitions, patient outreach and gaps in care
  • Clinically integrate care and track quality:  Incorporates provider-driven solutions to ensure coordination of care and clinical pathways with the focus on advanced patient quality outcomes
  • Data aggregation:  Identifies the data and technology required to support the ACO and its physician members.  Incorporates data into risk stratification and predictive modeling.
  • Build PC performance reporting models:  Establishes provider scorecards and care gap reports to enhance care coordination and align providers and PC objectives
  • Payer contracting strategy:  Identifies value-drive outcomes to support payer and employer value-based contracting
  • Patient engagement: Incorporates solutions such as portal access and patient outreach programs that support patient accountability. 

Tools

  • PC Strategy Evaluation
  • Workflow Assessment and Design
  • Clinical Interventions, programs and workflows
  • IT Infrastructure and system design
  • Technical guideline interpretations
  • Tracking of PCO clinical outcomes for reporting and clinical performance
  • Provider incentive programs
  • Clinical Integration
  • Payer contracting strategies and template agreements
  • Patient engagement

Benefits

  • Turnkey PCO program and roadmap to achieving goals
  • Ability to build an PCO strategy that supports organization and physician alignment objectives
  • Deliver clinical programs and support an PCO population’s health needs
  • Clinical, operating and payer content to be used as templates within the development roadmap
  • Information technology strategy and concepts to support PC objectives
  • Payer contracting strategy to support value-based contracting
  • PCO financial analysis and budgeting
  • Experience with “best of breed” technical solutions 

Hospital and Physician Alignment

To thrive in the years ahead, hospitals and health systems must be able to forge strong relationships with physicians. The key is creating mechanisms for aligning physician interests with those of the organization.

To thrive in the years ahead, hospitals, health systems and physicians must be able to forge strong relationships. The key is creating mechanisms for alignment of incentives.  Organizations that are responsive to physician needs and creative in solving shared problems will succeed in building a stronger strategic position.  Unicorn helps hospitals and health systems strengthen physician relationships through the following high-impact services:

  • Physician workforce planning — Unicorn has a track record of helping healthcare organizations create sustainable competitive strategies for recruiting and retaining physicians. We analyze your medical staff to understand its needs and priorities, and we evaluate the competitive landscape to identify opportunities for growing market share. We facilitate a collaborative decision-making process to clarify tactical goals and create far-reaching plans that support a comprehensive market strategy.
  • Physician compensation planning — As physician employment continues to grow in popularity, compensation models have become a key lever for maintaining physician satisfaction.  Unicorn has helped organizations across the country design innovative compensation plans that reward high performance and align physician activity with organizational goals.  We are skilled at involving physicians in plan development and creating objective compensation models that dovetail with organizational culture and mission. 
  • Ambulatory Service Planning —  Hospitals and physicians often find themselves competing in the same markets for the same set of services; services include ambulatory surgery, imaging and other ancillaries.  Through an interactive process Unicorn works with hospitals and physicians to accurately identify market competitors, forecast ambulatory needs and integrate development of primary and specialty care networks in support of mutual goals and objectives.  Resultant plans serve to expand ambulatory market share and corresponding revenue growth.

Physician Practice Management

  • In today’s challenging healthcare environment, medical practices that lack effective management can quickly develop problems in patient service, financial performance, and physician and staff satisfaction. Unicorn  provides short- and medium-term practice management services that help medical groups achieve and maintain strong performance.

    In today’s challenging healthcare environment, medical practices that lack effective management can quickly develop problems in patient service, financial performance, and physician and staff satisfaction. Unicorn  provides short- and medium-term practice management services that help medical groups achieve and maintain strong performance.

    Unicorn team members have hands-on experience managing both independent and hospital-owned practices. We use our practical expertise to augment current and/or provide temporary leadership in support of long-term solutions.  Specifically, Unicorn provides the following Practice Management services: 

    Practice start-up — Launching a new physician practice requires careful planning and execution. Unicorn coordinates every aspect of practice development: staffing, technology, clinical operations, patient flow, business office processes, revenue cycle management and managed care contracting. We help new practices develop a solid foundation for rapid growth and strong financial results.

    • Practice turnaround — When a medical group is facing a range of challenges, it often makes sense to engage an experienced practice manager to lead a comprehensive turnaround. Unicorn team members have the technical expertise and organizational sensitivity to create effective change. We provide the hands-on leadership needed to reduce staff turnover, improve the patient experience, boost physician satisfaction and achieve strong profitability.
    • Medical practice assessment —  Many practices have highly inadequate knowledge of their efficiency.  To assess the health of practices, Unicorn will review the operational and financial aspects of the practice, including staffing, workflow, systems, billing and collections.  By gathering data, interviewing key staff, observing workflow and analyzing reports, Unicorn provides a summary report highlighting observations, findings, and opportunities for improvement, which can assist the practice improve efficiency and financial performance.
    • Practice Education —  To augment day to day practice operations, Unicorn offers a range of 30 minute to half-day sessions on current topics pertaining to effective practice management.  In addition, Health Directions has planned, lead and executed practice retreats and workshops aimed at improving operations, enhancing collaboration, and building market share.  Topics include, but are not limited to:

    - Business development

    - Strategic planning

    - Current industry trends and the impact on physician practices

    - Financial management, including billing updates

    - Optimizing information technology advancements

    - Updates on legal, regulatory changes

    - Medical practice operation best practices 

Physician Practice Solutions

  • Health Directions understands the challenges that hospitals face from both an operational and financial standpoint with their employed physician practices. Our Physician Practice Solutions program provides seven key offerings that allow hospital organizations to achieve maximum financial performance. The seven key offerings support hospitals and the financial operations of their medical practices and allow them to realize a maximum return on investment

     

    Hospitals today are employing roughly 20 percent of the practicing physician workforce. Because of this sizeable shift, hospitals are challenged to meet the needs of their employed physicians.

     

    Unicorn understands the challenges that hospitals face from both an operational and financial standpoint with their employed physician practices. Our Physician Practice program is designed to provide following key offerings that we’ve identified to help hospital organizations achieve maximum financial performance. These programs and services are designed to improve the operational and financial performance of hospital organizations and their employed physician practices.

     

    The seven key offerings are designed to help hospitals support the financial operations of their medical practices and realize a maximum return on investment. They include:

     

    Concierge-Focused Physician On-Boarding to aid hospitals in the transition of private physician practices into an employed setting.

    Provider Credentialing & Managed Care Contracting, offering cost-effective and timely credentialing, while minimizing credentialing-related revenue loss

    Revenue Cycle Assessment to assess the full range of revenue cycle functions and identify opportunities for financial improvement.

    Practice Acquisition Support, including financial analysis and “due diligence” to properly evaluate a practice for acquisition consideration.

    Information Systems On-Boarding to integrate a physician practices’ information systems with those of the hospital organization.

    Key Performance Indicators & Dashboard Reports to monitor practice, physician and staff performance.