Helping Healthcare Providers Navigate the Complexities of Managed Care
Navigating the complexities of managed care requires a deep understanding of the healthcare landscape, as well as the ability to structure and negotiate complex contractual and financial arrangements with health plans. Strategic Healthcare Collaborations is dedicated to the long-term success of its clients, allowing them to do what they do best: provide high-quality care to their patients, while maintaining a financially sustainable and profitable provider organization.
Gene Rinehart is a seasoned healthcare executive with over 26 years of experience in the industry. He is the Founder and currently serves as the Principal at Strategic Healthcare Collaborations, a healthcare consulting firm based in Atlanta, GA.
Prior to launching Strategic Healthcare Collaborations, Gene spent twenty years at Elevance Health (f/k/a Anthem, Inc.), a major healthcare insurance provider, where he led initiatives to increase market share, revenue and profits. During his tenure at Elevance Health, he gained a deep understanding of the healthcare insurance landscape and honed his skills in strategic planning, provider contracting, and process improvement.
Gene’s expertise in healthcare management also extends to hospital administration, having worked for HCA, one of the largest hospital chains in the United States. He played a key role in driving managed care contracting performance at HCA in the Atlanta market.
Gene holds a Bachelor’s degree in Biology from the College of Charleston and a Master’s degree in Healthcare Administration from the Medical University of South Carolina.
Throughout his career, Gene has been recognized for his contributions spearheading execution and building lasting and meaningful relationships. He is known for his ability to lead teams, drive results, and he is a respected leader in the healthcare community in Atlanta and beyond.
AREAS OF EXPERTISE
Strategic Growth Planning
Managed Care Contract Negotiation
Revenue Cycle Management
Relationship Management
Change Management
Project Management
Services
Strategic Planning
Establish short- and long-term growth goals for clients identifying opportunities to maximize revenue and growth.
Contract Analysis and Negotiations
Review existing contracts and negotiate new contracts with payers to ensure optimal reimbursement rates for clients.
Value Based Payment Arrangements
Work with providers to assist in the transition to value-based payment arrangements from traditional fee for service models.
Credentialing Support
Assist providers with the credentialing process, ensuring that they are able to participate in all relevant networks.
Payment and Denial Management
Help providers manage payments and denials, ensuring that they are paid accurately and on time.
Compliance Support
Provide ongoing support to ensure that providers are in compliance with all relevant regulations and requirements.
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