US Healthcare Solutions LLC

Why Us

US Healthcare Solutions' mission is to approach every business problem and client engagement strategically, offering long term sustainable solutions for payors, providers and consumers.

Our commitment to fulfill this mission statement is directed by our industry experience, understanding and appreciation of the similarities and differences among health plans, payors and providers.

Our intimate knowledge of payors, providers and consumers including how payors and providers operate, how they negotiate, and the ever changing consumer requirements, enables us to align often misunderstood goals and objectives among involved parties. Our primary goal is to build and facilitate long term mutually beneficial relationships by finding common ground to bridge gaps in communication, reimbursement and healthcare quality.

What Makes US Healthcare Solutions Unique?

1.	We have successfully built health delivery networks nationally and locally.
2.	We have negotiated financially advantageous contracts on behalf of physician groups, hospital systems, ancillary service providers and professional associations.
3.	We have successfully integrated networks and developed market specific and national network strategy for health plans.
4.	We have converted risk-contracts into mutually advantageous provider/payor gain-sharing arrangements.
5.	We have developed, negotiated and implemented alternative reimbursement methodologies for payors and providers including Pay for Performance (P4P) programs.
6.	We have experience negotiating national provider agreements.
7.	Our team is comprised of individuals with backgrounds in: managed care contracting and network development, health plan operations, hospital administration, faculty practice plan development, information technology and health insurance billing and coding.
8.	Our diverse experience and industry background enables us to provide our clients with a unique perspective and appreciation of the strategic, financial, technological, and operational requirements of hospitals, providers, provider groups and payors.
9.	As experienced managed care executives, our consultants have played key roles in developing and implementing network strategy.
10.	We have been engaged by nationally recognized law firms to serve as expert witnesses on matters of contract interpretation and health plan management.