Hospitals and Health Systems

Hospital and Health System Intensive

Our Hospital and Health System Intensive is a program that provides an in-depth analysis of your current patient management workflows, payer partnerships, contractual terms, lines of business, and key patient data to develop optimized workflows that improve operational, financial, and clinical performance as well as drive efficiency for your care teams and engagement with your patients. For Health Systems, we drive the improvement of your provider network and develop strategies to enhance your value in the community. Our Hospital and health System Intensive supports organizations of all sizes and can be tailored to support practices in underrepresented areas.

• In-Depth Analysis of Key Patient Data, Lines of Business, and Partnerships
• Workflow Discovery and Assessment of Current Processes and Protocols
• Design or Redesign Company’s Playbooks
• Structured Action Plan for Performance Improvement and Growth
• Training for Clinical and Administrative Teams
• Vendor Partnership Assessment and Support
• CMS Proactive Preparation Program

The Patient Outcome and Experience Program

Our Patient Outcome and Experience Program is for care organizations that are determined to create patient-centric initiatives that improve experience, health literacy, and care outcomes.

• Patient-Centric Outreach and Engagement Initiatives
• Patient Health Outcome Improvement
• Patient Experience and CAHPS
• Patient Panel Growth

Value-Based Care Intensive

Our Value-Based Care Intensive is a program for care organizations interested in entering in or managing current value based care programs. Pygmalion Health supports you from beginning to end with establishing your contracts, implementing stop-loss, restructuring your workflows, and improving your performance.

• Initiation and Negotiation of Value Based Care Contracts
• Value Based Care Program Onboarding and Contractual Support
• Review of Eligible Programs and Assessment of Current Goals
• Value Based Care Payer-Partner Guidelines and Protocols
• Patient Attribution Collection for Participating Programs
• Payer Program Playbooks
• Data Integration Set-Up and Operational Meeting Cadences
• Strategic Value Based Care Vendor Relationship Development
• Negotiation or Renegotiation of Capitation and Incentive Terms 
• Data Integration Monitoring
• Reconciliation of Patient Attribution and Claims Data
• Supplemental Data and Attestation Submission Initiation and Support
• Ongoing Vendor Relationship Initiation and Support
• Full Value Based Care Training For Clinical and Administrative Teams

Health Equity Intensive

Our Health Equity Intensive is a program for care organizations that are implementing or restructuring their Health Equity processes. We are experienced in building national Health Equity plans that are tailored to addressing diverse markets, health inequities, and the unmet needs of underserved communities.

• SDOH Surveying and Data Analysis
• Patient-Centric Healthy Equity Initiatives
• Patient Education and Health Literacy Support
• Clinical Education
• Tailored Health Equity Program Playbook Development

Monthly Performance Advising

At Pygmalion Health, we offer monthly advisory support to your organization so that you continually move the needle in your performance goals. We are able to tailor our monthly advising services to fit your needs.

• Monthly Advisory Meeting with Company’s Key Stakeholders
• CMS Rule Proactive Preparation and Implementation of Updated Processes 
• The Patient Outcome and Experience Program
• Strategic Initiative Monitoring and Operational Support
• Vendor and Partner Roundtable Discussions
• Monthly Reporting and Performance Tracking
• In-Depth Performance Scorecard and Forecasting
• HEDIS and Patient Experience Support
• AWV Tracking and Completion
• Risk Adjustment Score Tracking and Open Assessment Opportunities

Tailored Program Playbooks

Pygmalion Health is happy to provide your organization with a tailored, comprehensive panel of program playbooks to transform your performance and provide your team with an optimized action plan for care delivery. We are able to offer you an array of program playbooks that are customized to your organization around key areas of focus.

• Medicare Advantage (MA)
• ACO REACH and Primary Care Flex
• Primary Care First (PCF)
• Commercial and Employed Based Insurance
• Direct Primary Care
• Risk Adjustment Coding and CPT Billing Protocols and Guidelines
• Population Health and Chronic Care Management
• Patient Attribution Reporting and Reconciliation
• Transitional Care Management

At Pygmalion Health, we know that when providers prosper, patients thrive. We're using that principle to guide how we revolutionize care.