ACA Consulting ServiceSummary: BHM Healthcare Solutions is on the cutting edge of healthcare consulting and adapts to changes in the marketplace.  BHM recently released a new line of service dedicated to the intricacies and nuances of the Affordable Care Act (ACA) from reimbursement to delivery systems and from Managed Care/Accountable Care to predictive analytics. BHM’s breadth of healthcare expertise includes payer, provider, reviewer and supplier perspectives and encompasses clinical, financial, and operational improvements.

BHM Healthcare Solutions offers a breadth of services covering the healthcare consulting spectrum. The most recent service line added focuses upon the many issues and areas of concern surrounding the Affordable Care Act (ACA) – Healthcare Transformation Assistance. Encompassed in this arena are the sub-categories: Managed Care Organization Conversion, Accountable Care Organization Conversion, Healthcare Reform Strategic Planning, and Post Conversion Optimization.

The Affordable Care Act is a complex set of regulations pertaining to the healthcare industry with provisions spanning from 2010 to 2016 and beyond. While BHM has been instrumental in helping many clients work through their ACA pain points, BHM recently formalized its Healthcare Transformation Assistance line of service. New healthcare delivery systems are developing rapidly as the US healthcare system transforms from a volume/quantity focus to one of value/quality.

BHM has been instrumental in providing transformation assistance, specifically but not exclusively in North Carolina as government entities convert from Local Management Entities (LME) to Managed Care Organizations (MCOs). Additionally, healthcare delivery systems such as Accountable Care Organizations (ACOs) are emerging at a rapid pace. The emphasis is on growing the Patient Centered Medical Home Concept to include groups of organizations working together to increase quality while reducing healthcare costs, which can certainly be a delicate balancing act. Additional delivery models are emerging to provide transitions from volume to value with the ultimate goal of achieving full capitation which is, in essence, transforming risk and the healthcare industry as we know it. BHM recognizes the importance and complexity of these new delivery systems and has very rapidly become experts in the field. BHM’s ACA expertise includes but is not limited to: regulations, mandates, incentives and penalties, preventative emphasis, Accountable Care/Managed Care, access and capacity issues, shifting reimbursement, value based purchasing, clinical operations change, altered competitive landscape, financial viability, reporting requirements, predictive analytics/data driven care, care management & integration, shifting reimbursement structures, and population management.

BHM is responsive to changes in the healthcare industry, one of which is the Affordable Care Act. The complexities of healthcare regulation can be overwhelming. Those who understand and are able to adapt will flourish, while those who cannot will be left behind.

About BHM

BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of healthcare settings.  BHM has worked both nationally and internationally with Managed Care Organizations, providers, hospitals, insurers, and government agencies.  In addition to this BHM offers a wide breadth of services including peer review services, accreditation consulting, strategic planning and organizational analysis, financial consulting, and organizational development.