Leadership Through Wisdom
Call: 813.810.2867 | Email: info@toneyhealthcare.com

Insource Partnership

INSOURCE PARTNERSHIP

Toney HealthCare’s Insource Partnership program is a service provided to health plans in which a ready-made clinical and non-clinical THCC team assumes responsibility for a specific healthcare service for a Line of Business (LOB) or a defined population that may be expanding or underserved. The THCC team becomes an extension of the health plan, fully integrated within the health plan’s clinical operations.

Flowchart

Our Healthcare Services

  • Medical and Behavioral Utilization Management
  • Medical and Behavioral Case Management
  • Population Health Management
  • SNP Model of Care Clinical Management
  • Network Development

Optional physician services

  • Clinical review of documentation to determine medical necessity
  • Medical Directorship: Oversight and direction of care management initiatives and programs

An integrated Partner – not an outsourced or delegated vendor

OrangeCheck

Easy Execution

Simpler contracting, faster execution. Elimination of complicated oversight and delegation requirements and elimination of IT resources to support data exchange and coordination.

Visibility Transparency and Control

Visibility, Transparency, & Control

On Plan’s system – Full capacity to monitor performance and generate reports on productivity, outcomes, and audit metrics within existing constructs and processes.

Rapid Extension of Health Plan Capabilities

Rapid Extension of Health Plan Capabilities

Fast deployment of seasoned professionals with deep experience in managed care operations and programs.

For more information contact us.