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How We Help Our Clients – SCALE Healthcare
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MSO Integration

Introduction

At SCALE, we support clients through an integration process by applying our domain and subject matter expertise to entities looking to maximize their value creation. 

A differentiating characteristic of a SCALE Integration project is our ability to apply a customized approach to best-in-class solutions.   This way, the new, combined business benefits from structure and scalability for the future, while maintaining the integrity of their legacy businesses. 

SCALE achieves this by working with the integration partners to align on end-goals, and then develops integration workstreams to match.   Understanding this, SCALE often identifies that many core strengths already reside inside of organizations and amplifies these characteristics during integration – leading to outstanding results for our clients. 

Using SCALE’s core capabilities of insight, planning, and execution, SCALE works side-by-side with clients each step of the way, often leading project management teams.  This said, SCALE is also comfortable in a supporting or advisory role. 

By partnering with SCALE, businesses seeking successful integrations find their investment leads to an end product characterized by a stable business foundation that allows the new, combined entity to grow and expand in the future.

STEPS

High level step by step- Integrations

1

Inventory the needs

Inventory

Platform Integration Best Practice

Stabilization

Optimization

Growth

Platforms run into trouble when they ‘skip ahead’

Prioritize the Inventory

Prioritize

2

Create a Tactical Plan from the Prioritized Inventory

3

Create

Illustration of Integration Tactical Plan – first 12 months

MSO Development & Integration Next Steps

Tier 2 Initiatives – Near Term Needs: Platform Optimization>Platform Growth

Timeline

Integration Workstreams

Months 1-6

Months 7-12

RCM

  • Hire leadership position for RCM
  • Create payor strategy team to evaluate contracts
  • Begin to evaluate execution steps to improve RCM performance system-wide
  • Oversee System migration (IT supporting)
  • Evaluate restructuring in-place team for maximum claims management efficiency
  • Implement RCM recommendations contained in RCM report

Information Technology

  • Identify and Assign Integration Manager to Migrate software platforms
  • Requires close coordination with RCM (TIN migration)
  • Create RFP for IT services agreement to migrate critical pathway needs for combined organization including
  • Evaluate restructuring in-place team for maximum claims management efficiency
  • Implement RCM recommendations contained in RCM report

HR & Compliance

  • Assign acting Human Recourses Manager to work with CFO
  • Migrate Payroll (post TIN)
  • Migrate benefits program
  • Create singular compliance manual for MSO to address identified deficiencies
  • Study and consider moving to a PEO, for add on practices
  • Evaluate HRIS and LMS options

Strategy

  • Integration and MSO Stabilization
    • Identify and assign champions for identified workstreams
    • Create tracking mechanisms for implementation of near and mid term goals
  • Study and consider Optical shop business model vs Partnerships with external Optical shops

Tier 2 Initiatives – Near Term Needs: Platform Optimization>Platform Growth

Timeline

Integration Workstreams

Months 7-12

Months 12+

Marketing

  • Hire leadership position for RCM
  • Create payor strategy team to evaluate contracts
  • Begin to evaluate execution steps to improve RCM performance system-wide
  • Oversee System migration (IT supporting)
  • Create digital marketing campaign to focus on key CPT codes patient awareness/acquisition
  • Study and consider singular website with multiple channels
  • Develop Attribution Analytics

Provider Recruiting

  • Create committee led by CEO to identify target providers
  • Create Value proposition peripherals focused on advantages of joining MSO
  • Create Capacity analysis based on current needs and practice growth (i.e. 20%, 30%, 40% growth models)
  • Solve for in-place vacancies based on provided location-based capacity

Call Center

  • Identify and Assign Integration Manager to migrate call center to single location
  • Create triaging protocols to maintain integrity of each subordinate business
  • Study risk/benefits of outsourcing call center in the next twelve months

Purchasing

  • CFO to lead
  • Create a Group Purchasing module inside MSO (post TIN migration)
  • Study and consider broader purchasing group inside Virtua relationship

Execute the plan

Execute

4

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