Program and Product Development for Private Sector Organizations

PHPG provides consulting services to assist HMDs and health plans in the evaluation of opportunities for participating in Medicaid and State Child Health Insurance Plan (SCHIP) programs. Specifically we can assist in conducting a:

• Program evaluation
• Corporate capacity analysis
• Assessment of resource requirements
• Financial analysis

Our consultants can also assist organizations in the preparation of their actual proposals.

PHPG can provide technical assistance in developing all aspects of specialized managed care programs for Medicaid and SCHIP beneficiaries, including:

• Member Services
• Member Outreach and Education
• Provider Network development
• Grievance and Appeals functions
• Case and Disease Management programs
• Quality and Utilization Management programs

Our consultants can assist all aspects of developing specialized managed care programs for:

• Physically disabled adults and children
• Seriously Mentally Ill adults
• Seriously Emotionally Disturbed children
• Long-Term Care populations
• Dually-Eligible (Medicare/Medicaid) beneficiaries