What can CHS managed healthcare offer my organization?

How can I become a part of the CHS team?

CHS offers partnerships that work.

With CHS, you can select a comprehensive program or a specific service, depending on your needs.  Our individual services, or "un-bundled" approach, is designed to focus on specific issues or areas of concern.  Our professionals are experienced in developing and managing client-specific services and correctional healthcare programs for diverse inmate populations.  We will work with you to develop programs or services to meet your needs.  The following is a listing of our current individual or "un-bundled" services:

• Recruitment, credentialing and continuing education of healthcare staff.
• Medical claims administration including auditing and processing.
• Utilization Review and Management (UM/UR) programs.
• Hospital, physician and other provider network development, contracting and management.
• Design and implementation of clinical protocols, treatment systems and program policies and procedures.
• Ancillary services contracting and program specifications such as those for pharmacy, clinics, laboratory and x-ray.
• Development, management and maintenance of medical records systems.
• Risk Management Programs.
• Planning and implementation of secure inpatient hospital units.
• Customization of health services utilization and financial management reporting systems.
• On-Site Program Administration.
• Inmate medical co-payment program design.

If you are seeking a company to provide a comprehensive program for your facility, look closely at CHS.  CHS will provide a capitated or fixed cost program based on your specific needs.  We have designed programs that "phase" from your responsibility of operation and cost assumption to that of CHS.  This assures your control of the program while defining and limiting your risk.

If you are seeking a comprehensive medical program, CHS can provide the following:

• Fixed costs with defined limits for future contract periods.
• Maximum on-site services to minimize off-site transportation.
• Hospital/physician networks with predetermined reimbursement rates.
• Creative and realistic risk-sharing/cost-containment programs.
• Program accreditation by NCCHC, ACA, or JCAHO, as desired.
• Ancillary services program management.
• Regularly scheduled client meetings and reports on program operation.

Advantage: CHS

Personnel recruitment: CHS recruits healthcare personnel as needed - physicians, dentists, psychiatrists, mental health workers, nursing and support staff.  This team works directly with our management and our on-site administrator to ensure quality care, and to resolve problems on an immediate basis.

Cost reduction/savings outcomes:  CHS established local provider physician/hospital networks with optimal reimbursement rates.  We have developed hospital inpatient secure units to minimize off-site transportation.  We quickly implement medical claims review/adjudication and payment procedures.  Or Utilization Management program expedites admissions and plans discharges to on-site infirmaries as quickly as is medically appropriate.  CHS designed and implemented the first inmate medical co-payment in New Jersey in 1994, which continues to be effective in controlling unnecessary inmate health services utilization today.

Policies, procedures and protocols:  CHS develops and implements client specific policies and procedures, manuals, nursing and clinical protocols.  CHS clinical and operational systems conform to applicable governmental regulations, and to NCCHC and ACA standards.  We have been 100% successful in obtaining and maintaining accreditation for our clients.

Claims administration:  CHS' medical claims management services assure the uniform application of negotiated payment terms, the appropriateness of charges and the medical necessity of services.  Our knowledge and understanding of managed care principles and hospital reimbursement systems combined with our experience with third-party payors allows us to effectively control costs.  We have proven experience with State Department of Corrections pre-approval and reimbursement policies for inmate healthcare services.

Centralized support:  CHS maintains effective central programs to support all of its contract sites.  CHS has a centralized and automated Management Information System (MIS) which is designed to collect and analyze various health services utilization data and costs. This allows us to provide monthly reports tailored to our clients' needs in a format that they can use to monitor the program status and progress.

On-site program administration:  Each CHS contract location has an on-site Health Services Administrator (HSA) to work closely with our clients to guarantee the success of every program.  The HSA has the authority and responsibility to "make it happen".

Reduced liability:  CHS assumes liability for all its medical programs - both services and personnel.  All of our employees are covered by general liability, medical malpractice and additional coverage as required.  CHS routinely provides indemnification/hold harmless provisions for CHS provided services.

Partnerships that work:  CHS believes that meeting client needs and retaining client relationships depend upon developing and maintaining partnerships that work.  CHS believes that a part of our mission is to manage the details of healthcare delivery in a professional and "seamless" manner.  We are diligent in providing services that meet specific community medical standards and are cost-effective.  We are an on-site resource that is proactive and always available to you, our client, even when your needs and requests are "outside the contract".  It is this "serving" attitude that is evident and throughout the CHS organization from our CEO to our on-site HSA.  There is a difference in managed healthcare companies.

CHS is Managed Care, Managed Better

For information on employment opportunities with CHS, 
please email Gale Gargiulo, BSN, at gargiulo@asgr.com.

You can also reach Gale at 973-571-9550 xtn 227 (phone)
or 973-571-9747 (fax).