The transition to a prospective bundled portfolio care model creates new operational demands. GHA offers providers operational and administrative capabilities ranging in scope from tactical support for specific functions to end-to-end outsourced support for program operations.
This operational capability is delivered in four main categories:
Comprising patient outreach, engagement, communication, and financial engagement, GHA Patient Experience services support the patient onboarding process from initial inquiry through registration, enrollment, and payment.
GHA supports day-to-day clinical operations through patient identification, access coordination, and financial monitoring of care episodes, from admission to discharge. Our objective throughout is to allow physicians and other care providers to concentrate on providing excellent care with no concerns about administrative efficiency.
Contracts, Collections, and Finance
Commercial value-based care programs are built on detailed contracts between providers, payers, and employers. GHA can manage contracting and contract administration in value-based programs. Funding and collections are another service area. GHA manages patient collections and payer reimbursement, as well as reserves, risk management, and incentive structures. Finally, we provide financial reporting for operations and clinical performance analytics.
Provider Billing and Reimbursement
GHA provides provider billing services, including electronic claims submission and conversions of fee-for-service billing to bundled price billing. We also administer provider reimbursement, including the unbundling of accounts payable, the electronic production and reconciliation of Explanations of Benefits (EOBs), payment (by check or electronic transfer), and risk pool management.
Notice of Site Terms
This Website is intended for the use of our current or potential customers and clients. This site is not for the use of individual patients, subscribers, or employers of our customers and clients. If you are an individual with questions or comments about your medical provider and/or medical billing or charges, please contact your healthcare provider, payer, or employer; if you need to speak to someone at Global Healthcare Alliance, your representative will have a toll-free telephone number you can call. DO NOT PUT MEDICAL INFORMATION ON THIS WEBSITE. Any party putting medical information on this Website is fully responsible for such information, and we assume no responsibility for such information, including any unauthorized access or misuse by third parties.