About us
BG HealthCare Consulting consists of a team of California licensed professionals with expansive experience in managed care medical service applications related to Medicare, Medi-Cal and Commercial lines of business. Our focus is helping healthcare organizations to poise themselves for success.
Areas of Focus
Utilization Management
Care Coordination
Population Health Management
Quality Management
Restricted Knox Keene-Compliance
Pre-Delegation & Ongoing Delegation
Regulatory Compliance
NCQA Accreditation
Corrective Actions
GAP Analysis
Credentialing
Meet Our Team
At BG HealthCare Consulting, we pride ourselves on our team of skilled healthcare professionals who are dedicated to offering top-notch service and expertise. Get to know the talented individuals behind our success and how they work collaboratively to support your healthcare needs. Together, we are committed to making a positive impact in the industry.
Why Choose Us
Assessment
Identification of Gaps
Interventional planning
Development
Implementation
Measuring Effectiveness
Ongoing Monitoring
Quarterly & Annual Evaluation
Reporting
Procedural Functions
Policies & Procedures
Program Development
Remediation
Desk Top Processes
Staff & Provider Education
Auditing Methodologies
Functional Technology Enhancements
Health Plan & Regulatory Submissions
Work Plans
Committee Structure & Reports
Monitoring Tools & Functions
Organizations Served
AltaMed Health Network RKK
Altura MSO
EPIC Health Plan RKK -Optum
Clinicas Camino del Rio FQHC
MedPartners MSO
Unilogic MSO
Central Neighborhood Health Foundation FQHC
Kern Health Systems Health Plan
LaSalle Medical Group
Kidney Care IPA
The BGHC Consulting
Service Cycle
