Consultancy
Strategic network evaluation
As your partner, we aim to analyse and make recommendations to optimise business performance. This maximises your revenue potential and helps achieve sustainable confidence in your own service offerings or negotiations on a longer term.
We also ensure that your contract terms related to submissions, re-submissions, denial management and reconciliation are impartial to both you and the payer.
Local Pharmacy
Network
Our extensive directory of active pharmacy networks enables us to support the
arrangement of your medication requirements. We strive to ensure that your
medication needs be served even across borders and in remote communities of Africa.
We are committed to simplifying the process through which we work in tandem with
local pharmacies to cater to the pharmacology needs of our varied range of clients.
Network profiling
For healthcare payers, in addition to our standard network offering, We can also develop a specialized discipline of clinical network based on the nature of the client/product, past utilization and geographic convenience.
We start by profiling your facility, analyzing your historical claims and then creating a SWOT (strengths, weaknesses, opportunities and threats) report to help gauge your practice’s financial prospects. In creating a pricing guide, we employ a scientific costing methodology – RVUs (Relative Value Units) – which calculates the payment based on the relative time, skill and intensity required to provide medical service to your patients; as well as the relative expenses such as staff costs, office space and equipment needed to maintain a practice
High cost clinical adjudication
In an ever evolving nature of approach to individual care, to be sustainable, you must be able to negotiate payer contracts that reflect the true value of your tangible and intangible services. Even hospitals and clinics that are efficiently run and with minimal overhead could see their financial well-being compromised if contracts with insurance companies are not reviewed, negotiated and drafted properly.
Youna IMS has a team of professional consultants with vast healthcare administration experience, who can advise you on the proper pricing model for your respective payer contracts. We do not believe in a one-size-fits-all approach to payer contract negotiation as every provider has its own strengths and market positioning strategy. As a result, our Contracting and Pricing Services are customized to suit your practice’s specific needs.
Get In Touch With Us !
Join now for a free consultation session to discuss how Youna-IMS can add value to your specific organizational goals.