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Company Description
Progressive Healthcare, Inc. is a healthcare management consulting firm headquartered in Brentwood, Tennessee, that for more than 25 years has helped hospitals, health systems, physician enterprises, ambulatory surgery centers, and provider-owned health plans achieve measurable improvements in clinical outcomes and financial performance. The firms work spans strategy and business planning, physician strategy, alignment and growth, care management and 340B optimization, finance and payor contracting, and operational improvements across ambulatory and hospital settings. Progressive Healthcare emphasizes strategies grounded in reliable data and rigorous analytics, guiding executive teams and governing boards to articulate compelling long-range visions, set balanced priorities, align stakeholders, and establish clear accountabilities that accelerate execution while managing risk. Its Physician & Hospital Alignment practice supports partnerships with independent physicians, refinements to employment agreements, care management initiatives such as Chronic Care Management (CCM), and the cultivation of physician leadership to navigate value-based payment models. Representative outcomes include helping a community health system leverage a transition to Medicaid managed care via a shared-savings model with PMPM case management fees for 13,000 lives, formation of a PHO to include independent physicians, and realization of more than $1 million in incremental margin applied to compensation and care management infrastructure. In care management, projects have included end-to-end development of a heart failure program integrating clinic protocols and pharmacy services, converting a 175-PCP and hospital network into a clinically integrated network that earned $3 million in first-year gain sharing after a direct-to-employer contract, and leading analytics to return a provider-owned Medicare Advantage plan to profitability within 18 months. The firm advises providers on CCM and TCM strategy, infrastructure and ROI, Medicare and bundled payment approaches, network development for risk-sharing and payment redesign, and direct employer contracting, and supports provider-owned health plans with program design, consumer engagement, case management performance, and payment system transformation. Progressive Healthcare also shares timely insights on policy and reimbursement trends, including analyses of key Medicare changes, to keep clients ahead of industry shifts.
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