Optimal Health Group, Inc. is a medical management company which provides high level management and consultation services to Health Plans, Hospitals and Organizations that accept risk for the costs of providing healthcare services.
Optimal Health Group has the expertise to provide detailed analysis, strategic plan development and implementation for the full spectrum of medical management services. We provide a synergistic integration of medical management, management information systems and data production and analysis. Optimal Health's Principals have a documented track record for high quality, cost-effective management of health care benefits and services for Physician Hospital Organizations (PHO), Preferred Provider organizations (PPO), Health Maintenance Organizations (HMO) as well as Self Funded Employers and Indemnity Insurers.
We have the experience and flexibility to provide consultation, customized carve out medical management services as well as program development to a variety of health care companies and employers. Our programs and services will typically produce reductions in overall health care expenditures while allowing for efficient and seamless delivery of care. Under certain circumstances Optimal Health Group is willing to share risk and reward while guaranteeing savings to the Client at least equal to the cost of the program. Optimal Health's collaborative, total needs approach is designed to support the goals and objectives of the individual Health Care Organization, Employer or Insurer while managing health services so as to provide optimal care for the plan members.
Optimal Health Group is able to provide the required medical management services utilizing the Client’s current employees, converting them to Optimal Health Group employees or through existing Optimal Health Group employees. It is our preference that in any case most employees will be locally or regionally based.
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