Projects & Impact

AHP has built its business on applying best practices, many of which we have helped to shape, and real-world, hands-on knowledge to improving systems and business practices for our clients.

In all of the work that we do, we are guided by our mission to improve health and human services systems of care and business operations to help organizations and individuals reach their full potential.

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Building a Behavioral Health Network with Rural Providers

Facing evolving state and federal requirements for clinical integration, this group of rural behavioral health providers sought AHP’s help to assess their capabilities and begin to build a provider network to better serve their region. Recognizing the competitive risk of more dominant health systems, these smaller providers have banded together and are collaborating with AHP to strengthen their administrative capacity and efficiency and deliver care more effectively. AHP is conducting a readiness assessment of each provider’s capabilities for forming a provider network model with an analysis of strengths and weaknesses, along with recommendations for the most suitable network model to pursue. In addition, AHP is developing a business planning process with a blueprint for implementation for the chosen model. Each organization will receive a feasibility study and business plan for establishing a shared services organization.

Developing a Managed Service Organization for an Intellectual/Developmental Disability Services Provider Association

Members of an intellectual/developmental disabilities (I/DD) providers association engaged AHP to help form a management service organization (MSO) in response to imminent changes in the regulatory and business environment driven by the Affordable Care Act. AHP conducted a readiness assessment and then developed an implementation plan and roadmap to guide the group of providers toward establishing the MSO to re-engineer care delivery systems and adopt integrated service solutions and new technology. The comprehensive roadmap outlined the functional processes to put in place and a set of recommendations and procedures to help launch the MSO for the providers.

Increasing Financial Stability and Productivity for an Intellectual/Developmental Disability Service Provider

AHP helped to assess and improve key business operations for The Resource Center, a provider of intellectual/developmental disability, primary care, dental, and mental health services in New York State that was facing financial challenges under health care reform. Over a two-year period, AHP conducted a claims analysis and a productivity study, as follows:

  • The analysis identified the causes of financial losses, gaps in the revenue management process, and opportunities for improved pricing strategies and contract negotiation processes.
  • The productivity study analyzed the clinical workflow and its impact on revenue models, revealing both the need to improve productivity and to increase patients to the practice. AHP’s recommendations from all phases of work were quickly implemented by the client. Today operations are more efficient, productive, and profitable.

Transitioning to a Medicaid Managed Care Model for Providers of Services to Individuals with Disabilities

AHP is supporting this provider association in its goal of establishing a long-term Medicaid managed care model for its member organizations that deliver services to individuals with physical disabilities. The managed care model will ensure care coordination between patient primary and mental health services, as well as facilitate their ability to live and work in integrated settings. In addition, the work explores network provider models to create a shared organizational infrastructure that will produce administrative and information technology efficiencies for the new managed care model. AHP is currently conducting readiness assessments and providing recommendations for best practices and models that best fit the organizations while meeting state regulatory requirements.

Improving Technological and Business Efficiencies for Federally Qualified Health Centers (FQHCs)

Since 2005, AHP has helped nearly all Massachusetts FQHCs and others in the Northeast and Mid-Atlantic to re-engineer key operational and clinical processes. AHP delivers value to the bottom line through evaluating and improving process mapping and workflow analysis, EHR implementation, identification of barriers and constraints, clinical and operational staff training, and system validation. AHP experts help FQHCs to integrate primary care and behavioral health, conduct strategic planning to meet the requirements of health care reform, and perform protected health information privacy and security assessments. Since 2011, AHP has assisted FQHCs in meeting the Centers for Medicare and Medicaid Meaningful Use.

Positioning an Accountable Care Organization to Expand Behavioral Health Services

Inspira Health Network, an accountable care organization (ACO) with three medical centers and more than 100 access points, sought AHP’s help to make rapid, well-informed decisions about the best allocation of its behavioral health resources and facilities to best serve the surrounding community and deliver value to the bottom line. The goal was to research and deliver a position paper for presentation to legislative, business, and community stakeholders that would encourage support for the ACO’s proposed facility and product expansion. In a very tight timeframe, AHP conducted an assessment of the existing and future business environment, researched and defined the product line and proposed expansion, and developed a paper positioning Inspira Health Network and the benefits proposed for the community.
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