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Client Results

We provide tangible client outcomes through customized healthcare consulting services that are tailored to meet the diverse needs of healthcare stakeholders.

As a national healthcare management consulting firm, ProspHire understands industry challenges. We have the expertise to navigate healthcare complexities and offer key insights to ensure your healthcare organization is set up for success. View our client case results below to see how we can assist with your healthcare organizational needs. 

Discover our case studies and client results for each healthcare service we offer.

Expand on each for more information.

Project Delivery
Business partner together to discuss the business plan at the meeting and analyze financial numbers to view the performance of the company.

EPMO Implementation and Prioritization

Streamlining Clinical Medical Necessity Review Process

Increasing Medicare Advantage Plan Membership

Benefits Optimization Plan to Lead to Novel and Competitive Benefits Submission

Achieving Required Documents Compliance and Ensuring Ongoing Accuracy

Clinical Software Implementation Leads to Improved Efficiencies and Improved Member Experiences

Developing a Care Management Program

Encounter Submission Management, Stopping Leaks

Unlocking Revenue Potential: A Playbook for Medicaid Contract Optimization

Staff Augmentation Leads to Delivery of Successful Quality Programs

Leading a System Integration for an MCO

Developing a Centralized VMO Operating Model Strategy

ACA Plan Development and Expansion
Help, support and medical with nurse and old man and cane for retirement, rehabilitation or healing. Empathy, physical therapy and healthcare with patient and walking stick in caregiver nursing home

Launching an ACA-Compliant Health Plan

Insourcing a Medicaid Star/Chip Program to Save on Vendor Fees

Dental Practice Management
Happy black woman talking to her dentist during dental exam at dentist's office.

Enhancing Dental Practice Management

Medicaid Practice
Optimizing Medicaid by looking at graphs with a magnifying glass

Empowering Excellence: Achieving NCQA Multicultural Healthcare Distinction with Strategic Support

Transforming Healthcare Reporting and Driving Quality in Medicaid

Unlocking Revenue Potential: A Playbook for Medicaid Contract Optimization

Submission and Award of a National Quality Health Equity Accreditation

Healthcare Transformation that Addressed Social Determinants of Health

Achieving Required Documents Compliance and Ensuring Ongoing Accuracy

Identifying Health Trends via Analytics

Transforming Healthcare Reporting and Driving Quality in Medicaid

Empowering Excellence: Achieving NCQA Multicultural Healthcare Distinction with Strategic Support

Elevating Diversity Commitments: Streamlined Reporting with a Power BI Platform Solution

Closing the Care Gap: Harnessing Data for Health Equity with a Power BI Solution

Encounter Submission Management, Stopping Leaks

Unlocking Revenue Potential: A Playbook for Medicaid Contract Optimization

Transforming Care Management: From Manual Processes to Streamlined Efficiency

Stars Performance Improvement
Stars ratings for healthcare organizations

Stars Assessment and Transformation

Stars Program Assessment and Long-Term Strategic Plan Recommendations

Restructuring Stars Program Boosts Revenues by $30M

Nearly $3M in Savings with a New Custom HEDIS Tool and a 4.0 Star Rating

Explore Our Healthcare Practices

Healthcare Insights and Blogs

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