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ABOUT

ABOUT PAHS SOLUTIONS

OUR TEAM

PAHS is Partnership led by a team of California Nurses with expansive historical experience in managed care applications and practices related to Medicare, Medi-Cal and Commercial lines of business. Our focus is helping healthcare organizations to poise themselves for success by navigating through challenges and supporting strategic business evolutions. We pride ourselves with straightforward hands-on approaches throughout the full spectrum of undertakings required to facilitate operational transformations and achieve program compliance and quality.

Areas of Focus

  • Utilization Management

  • Care Coordination

  • Population Health Management

  • Quality Management

  • Restricted Knox Keene-Compliance

  • Pre-Delegation & Ongoing Delegation

  • Regulatory Compliance

  • NCQA Accreditation

  • Corrective Actions

  • GAP Analysis

  • Credentialing

Procedural Functions

  • Policies & Procedures

  • Program Development

  • Remediation

  • Desk Top Processes

  • Staff & Provider Education

  • Auditing Methodologies

  • Functional Technology Enhancements

  • Health Plan & Regulatory Submissions

  • Work Plans

  • Committee Structure & Reports

  • Monitoring Tools& Functions

Cross-Functional Steps

  • Assessment

  • Identification of Gaps

  • Interventional planning

  • Development

  • Implementation

  • Measuring Effectiveness

  • Ongoing Monitoring

  • Quarterly & Annual Evaluation

  • Reporting

Beverly Gibbs

PAHS CEO

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Yvonne Buncio

RN, BSN

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MD, MPH, MBA, FASN, 

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Linda Corbin

RN

ABOUT

Client References-BG Healthcare Consulting

New Formation of PAHSS

  • Kern Health Systems Health Plan

  • AltaMed Health Network RKK

  • Altura MSO

  • EPIC Health Plan RKK - Optum

  • Clinicas Camino del Rio FQHC- MedPartners MSO

  • LaSalle Medical Group

  • Central Neighborhood Health Foundation

  • Kidney Care IPA

  • Primary Care Associates of California Medical Group-Unilogic MSO

  • Capital Health Partners

Organizations

  • AltaMed Health Network RKK

  • Altura MSO

  • EPIC Health Plan RKK -Optum

  • Clinicas Camino del Rio FQHC

  • MedPartners MSO

  • Primary Care Associates of California Medical Group- Unilogic MSO

  • Central Neighborhood Health Foundation FQHC

  • Kern Health Systems Health Plan

  • LaSalle Medical Group

  • Kidney Care IPA

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Strell Ramirez

RN

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Charity Matic

RN, BSN

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Colleen Del Valle

LVN

CONTACT PAHS SOLUTIONS

CONTACT

For expert consultancy services and inquiries, please feel free to reach out to us. We are dedicated to helping healthcare organizations achieve sustainable success.

PHONE

310-701-2852

E-MAIL

© 2024 by Pro Active Health Service Solution

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