doublesys Services
doublesys's suite of services for its turnkey physician owned health plan encompasses:
- Funding to meet the health plan's initial capital surplus requirement and ongoing capital needs
- Target market and health plan development feasibility studies
- Physician Owner recruiting support and health plan organization
- Health plan implementation and project management
- Federal and state health plan certification, regulatory compliance and statutory reporting
- Capital surplus financing, financial services, and investment management
- Strategic and tactical business planning
- Health plan member marketing programs and enrollment support
- Operations infrastructure and health plan management systems, including hiring and managing all human resources
- Member claims adjudication, administration and payment
- Information and operations support for medical utilization management, disease prevention and management, outcomes analysis and physician profiling
- Accounting, corporate administration, actuarial services, and risk management
- Information technology and data management, including managed care information and administration systems and advanced database, internet and telecommunications tools
- Local health plan Service Centers with member services and medical management staff
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