CMS allows five states to adopt multi-year continuous Medicaid eligibility for children
The future of such policies is unclear under an upcoming Trump administration, which could rescind approvals or prevent…
Read PostSW Medical Consultants represent payors, hospitals, physician groups, ancillary providers and large health systems throughout the United States. Our goal is to serve as your resource for establishing a birds-eye view of your processes and programs and review areas where there is opportunity for increased and enhanced performance.
See all ServicesWe will collaborate with your team to understand your deliverable, map out an approach given your timeline, marketplace dynamics etc. and effectively implement ensuring your success.…
Find out MoreWe can help you review and renegotiate your contracts with managed care organizations (MCOs), which can result in increased net revenues. Managed Care Contracting Review and Negotiation
Find out MoreAncillary care providers have unique managed care contracting challenges. You want to increase your provider reimbursements through new or existing contracts, but you may have trouble…
Find out MoreOur team are skilled in analyzing the financial, political, clinical, regulatory, and technological landscapes about the changing healthcare industry. As healthcare shifts from procedure-based to value-based, our specialty of managed care approaches will become essential. Southwest Medical Consultants have extensive experience in working with all spectrums of managed care organizations and hospital contracting. Read more
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Read all NewsThe future of such policies is unclear under an upcoming Trump administration, which could rescind approvals or prevent…
Read PostCareMax was the exclusive Medicare managed service organization to Stewardship Health. Steward’s bankruptcy posed…
Read PostMike Pykosz, who joined CVS with its acquisition of the value-based medical chain in 2023, is departing amid a flurry…
Read PostSWMC consultants were able to successfully negotiate agreements with hundreds of PCPs and Specialists in multiple counties over a very quick 60 day window to help meet access requirements. My colleagues and I were extremely impressed by the experience, knowledge and results we saw from SWMC and would not hesitate to hire them again as the opportunity arises.Kevin Goodman Molina
SWMC successfully completed multiple assignments for my company. Keith is an expert in physician recruiting with a tremendous knowledge of managed care recruiting.Rob Westcott President at Cred-Ability Solutions LLC
Keith has been a solid team player for my staff! He is professional, reliable and delivers the work. His demeanor and clinical view provide a solid platform and a balanced approach. With a variety of skills in his portfolio, he can support all products from Medicaid to Medicare to Commercial. He is familiar with the health care delivery system and can negotiate hospital, professional or ancillary contracts. His personality is a great match for provider relations, contract management, contract negotiations or network projects. He has been a valued member of my team.Julie Menke VP Network Development California Health and Wellness