Excell Healthcare Advisors

Our Clinical Innovation Team specializes in training Medi-Cal plans to maximize the potential of Jiva, a leading care management platform. From workflow optimization to comprehensive training and post-implementation support, we ensure your team transitions with ease and confidence. Take a look below to find out how our proven results in the Medi-Cal space, including the successful training of over 1,500 providers, can streamline your operations and enhance care coordination - and reach out to our own Kim Ingram if you'd like to learn more! #healthcare #healthcareops #clinical #clinicalinnovation #medical #jiva

Steve Holland, PMP, Director at Excell HA, has a wealth of experience with CMS Regulatory Compliance. Previously serving as the Director of Compliance at a major health plan, Steve has firsthand experience in designing and implementing the end-to-end processes and policies necessary to achieve sustained CMS compliance. Now at Excell HA, Steve continues to serve and support our clients with his invaluable expertise, going above and beyond the bare minimum, mission-critical components to deliver fully-developed and well-rounded regulatory compliance strategies and practices to cover every base. Hear what Steve has to say below: ? "Compliance with Medicare regulations is a complex and potentially costly endeavor that health plans must navigate in order participate in Medicare Advantage programs. Equally challenging is how to structure a compliance team to work across the organization to ensure plan operations are consistently adhering to Medicare guidelines and taking swift action to address areas of risk. Penalties from CMS not only include monetary fines but can impact STAR ratings and ongoing participation in the Medicare program. These challenges require healthcare insurance organizations to be proactive in their compliance efforts, investing in effective compliance programs and maintaining a positive relationship with their Medicare counterparts at CMS. ?"Health insurance organizations must have a solid Compliance Management process that goes beyond the day-to-day interpretation and implementation of new or changing regulations. Compliance management processes govern the intake, dissemination, implementation and monitoring of operational compliance. Foundationally, this starts with policies and procedures that outline how compliance is managed throughout the organization. The compliance “community” participating in this process includes operational leaders, compliance experts, IT resources and other key stakeholders that are critical to the success of compliance management." ? Reach out to Steve or our SVP of Clinical Innovation, Kim Ingram to learn more about how Excell Healthcare Advisors can help you implement best practices to meet CMS requirements. #healthcare #healthcareIT #healthcareconsulting #healthplans #CMS #Medicare #MedicareAdvantage #Medicaid #DSNP #compliance #regulatorycompliance #STARratings #healthcaredata #dataintegrity #healthequity #SDoH #dataanalytics #healthcareoperations #healthcareoptimization #sustainedoptimization #tracking #monitoring #clinicalquality #valuebasedcare #clinicalinnovation #qualityandsafety #qualityofcare

?? Assessing a healthcare organization's data maturity is a challenging process, where we must consider several dimensions of existing capabilities in order to understand the full picture of how mature that org is in its path to achieving a data-driven culture. ?? In the graphic below, our own David Cohen walks through a graphical representation of that assessment process - through which we evaluate each of the seven critical data maturity areas for our partners and help them define a path to achieving full value of their data! How would you score your org across each of these areas? Let us know in the comments! #data #healthcare #analytics #healthdata #healthcareanalytics

?? Balancing Member Interaction & Cost in Care Management Finding the sweet spot between meaningful member engagement & cost efficiency is essential. Greater interaction often leads to improved outcomes & satisfaction—but it comes with financial challenges. Below are some ways your organization can find that balance!? ? Want to enhance your care management approach? Let’s talk! Schedule a consultation with Michelle Heckman today. https://lnkd.in/djWkMyQs ? #CareManagement #HealthcareInnovation #PatientEngagement #ValueBasedCare

Our Clinical Innovation Team specializes in training Medi-Cal plans to maximize the potential of Jiva, a leading care management platform. From workflow optimization to comprehensive training and post-implementation support, we ensure your team transitions with ease and confidence. Take a look below to find out how our proven results in the Medi-Cal space, including the successful training of over 1,500 providers, can streamline your operations and enhance care coordination - and reach out to our own Kim Ingram if you'd like to learn more! #healthcare #healthcareops #clinical #clinicalinnovation #medical #jiva

Remember to join us this upcoming Friday for a conversation on Data Storytelling, with our own David Cohen! A lot of great discussion to come on the value of knowing how to tell data-driven stories and use them to persuade others! Sign up to learn more using the link below to learn more!

Join us on Friday, November 15th for another great conversation with our friends at Rhyno Healthcare Solutions, Inc.! For this event, our own David Cohen will be showcasing the importance and relevance of data storytelling in healthcare to drive impact and decision-making! Register to learn more on the 15th using the link below!

As everyone working in the healthcare world is painfully aware, data problems are a major sore spot for all organizations and we have all experienced their effects in one way or another. To celebrate Halloween, we'd like to hear your #scarydatastories below! Let us know some of your biggest pain points and how you've solved them!

Centers for Medicare & Medicaid Services have released their #2025StarRatings and we're here to get you to the next level! Swipe below to see how we've helped other clients with their NCQA accreditation, quality of care, and overall CMS Stars rating, and reach out to our experts Kim Ingram and Elizabeth Swilley Sheridan, DNP, RN, CPHQ to find out more about how Excell Healthcare Advisors can help you achieve all your Stars-related goals! #CMS #CMSStars #healthcare #healthinsurance #healthplans #healthcareproviders #qualityofcare #NCQA #healthcareadvisors #healthcareconsulting #data #dataanalytics

Please join us in welcoming Dana M. Wells, MS to the team! Dana brings extensive experience in the healthcare industry, serving as an expert in payer system implementation, configuration, and optimization. Follow our page to hear more from Dana and the rest of the team!