Aspire and our partners have over 30 years of healthcare, provider networks, technology, insurance and Employer strategic planning expertise. We will guide you and your teams to the best solutions that will bring results to reduce your healthcare cost and improve the health and wellness of your Employee's.
We have over 20 years of healthcare management consulting services for all Provider types (hospitals, physicians, health systems, networks, ACO's, IPA's). We focus on the managed care strategies, contracts, reimbursements and solutions that will increase your annual revenues.
Insurance decisions are complicated. Our team of experts is here to help you navigate the system, selecting the best solution to fit your company’s needs. Capstone Management Group functions as an insurance and reinsurance intermediary firm assisting in the placement and purchase of insurance and reinsurance.
We have 20 years of managed care contracting experience, negotiating and managing thousands of contracts for Providers (hospitals, physicians, groups, ancillaries). Outsource all of your contracting to Aspire and increase your success and lower your cost.
We are experts with all types of healthcare payment structures (FFS, Capitation, VBC). We will manage your Payer rates, fee schedules and conduct predictive modeling for an effective rate negotiation.
Our Sapphire contract management solution is the only solution in the market that will all the key functions for maintaining all of the managed care contracts, identify provisions for easy access, track redlines and approval workflow, and load all rates and claims data for modeling.
We maintain all the Payer policies, provider manuals and clinical guidelines for easy access for your staff.
We provide all of the credentialing functions from new request to join networks, completion of credentialing forms and re-credentialing services.
We assist your RCM, and AR billing & collections teams to escalate claim dispute projects and settlements with Payers.