Toney HealthCare Announces Innovative Solution to Provide Clinical Services for Health Plans in Support of Their Members

June 4, 2019

The Insource Partnership program delivers experienced, ready-made teams rapidly deployed to extend health plans’ utilization and care management services.

Tampa, Florida – June 4, 2019 – As more people sign up for health insurance through individual marketplaces, their employer, Medicaid expansion or the growth in Medicare, health plans work diligently to serve their members’ needs.  Toney HealthCare Consulting (THCC),a clinical, quality and regulatory healthcare consultancy, today announced the launch of the company’s Insource Partnership program to help health plans best serve their members.  Insource Partnership is a service provided to health plans in which a highly experienced, ready-made clinical and administrative THCC team assumes responsibility for a specific healthcare service within an insurer’s Line of Business (LOB) or a defined population that may be expanding or underserved. The THCC team becomes an extension of the health plan, fully integrated within the health plan’s clinical operations.

The Insource Partnership program is a long-term solution for health plans that have needs in discrete healthcare service areas.  As an example, take case management where clinical teams help severely ill individuals navigate the healthcare system.  A health plan may be growing its Medicaid membership, but is unable to quickly bring on case managers to serve these most vulnerable of members.  With Insource Partnership, a dedicated, expert THCC unit rapidly deploys and operates within the policies, procedures and systems of the health plan for an extended period.

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