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Independent Third-Party Review and Managed Care Consulting

Pacific

Independant Reviewing Agency
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Asking Price: $800,000

Cash Flow: $250,000

Gross Revenue: $1,700,000

EBITDA: N/A

FF&E: $15,000

Inventory: N/A

Established: 1995

Independent Third-Party Review and Managed Care Consulting

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Business Description

founded in 1995 as an independent third-party reviewer and managed care consulting firm. business model of sustained growth is built on exemplary clinical and regulatory expertise, personalized service, rapid response, and operational flexibility. A byproduct of work over two decades is the creation and design of review protocols and technical assistance guides that are widely utilized in regulatory compliance audits and investigations.

path to leadership in the field of independent healthcare review began with successive contracts with HCFA (now CMS) to conduct monitoring and investigative audits of federally qualified health plans across the country. This work led to long-term contracts with state authorities , including the Department of Managed Health Care, involving hundreds of routine audits directed at commercial and government insurance plans in addition to focused investigations of specific regulatory and healthcare issues.

In addition to regulatory review, experience and expertise in managed care has led to participation in the development and implementation of new healthcare programs, such as the Mental Health Parity Act in 2005, Timely Access Regulations in 2010, and the Federal Mental Health Parity and Addiction Equity Act (MHPAEA) in 2015.

Detailed Information

Employees:
4ft plus subs
Furniture, Fixtures, & Equipment (FF&E):
Included in asking price
Facilities:
Available for lease
Competition:
Limited
Growth & Expansion:
Add more territories and states.
Support & Training:
Owner will stay on as needed
Reason for Selling:
Planning for retirement
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(from currently available funds)
 
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Davidson Business Investments

Business Listed By:
Davidson Business Investments

Davidson Business Investments Inc.

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