Are you struggling with
Medicare Reimbursement & Compliance?
With over 40 years of experience in the healthcare industry, my team can quickly find and exploit the profitable growth opportunities you need to succeed.
Here's the data:
Major changes shaping healthcare dictate the need for effective strategies, organization and execution from providers, payors and investors. Valiante Healthcare Management Solutions (VHMS) has led clients through these steps many times.
30m+
The number of Medicare beneficiaries enrolled in Medicare Advantage (MA) Plans continues to increase, reaching over 30 million in 2023, over 50% of all beneficiaries.
5 Years
The time until the Medicare Trust Fund is empty and new sources of funding or savings will be needed without changing benefits or eligibility.
57 Plans
The number of MA Plans with a 5-star quality rating, with 22% of all MA Plan members enrolled.
$2.7b
The HHS Office of Inspector General collected this amount from providers and payers from its Compliance Program activities during 2022.
Our Skills & Services
Valiante’s consulting and interim management services focus on three essential steps for success: Strategy, Organization and Execution.
Strategy
There's a New Strategic Playbook: Strategy is the best way to achieve high growth, profitability, positive patient experience, and good quality outcomes.
Organization
Company culture is make or break. Organize and instill leadership excellence.
Execution
Valiante’s emphasis on building teams and their speed of execution improves the likelihood of your success.
About Us
Valiante Healthcare Management Solutions (VHMS) has been a leader in transforming healthcare provider, payer and investor performance for over forty years. Led by its Founder and President, John Valiante, the firm has successfully advised clients in changing strategy, organization and execution, including interim management, to increase speed of execution.
John’s leadership in building, operating, advising and governing successful healthcare organizations across the full spectrum of services provides the foundation for our work. He began his career in the managed care industry, advising numerous developing HMO plans and starting a 800-physician-owned HMO in the Washington, DC area, Physicians Care. After selling the plan to Blue Cross and moving to Wyoming, he led the successful turnaround and expansion of the medical center in Jackson Hole, now St. John’s Health.
Following consulting projects with several health systems and managed care organizations, he was tapped by the National Football League to develop a WADA-certified performance-enhancing drug testing laboratory in Salt Lake City. John became involved in the Arizona market through consulting with HonorHealth, Hospice of the Valley, Schaller-Anderson, Commonwealth Primary Care ACO and Trinity Air Medical. This, in turn, led to executive leader roles at Southwestern Eye Center, now the core group in American Vision Partners, and Barrow Brain and Spine, one the nation’s foremost neurosurgical groups affiliated with Dignity Health and Honor Health.
Work With Us
Our teams assimilate easily with your leadership and operating staff and fit into the pace of your operations.. We use experts in each of the specialized areas confronting your organization: reimbursemnt, RCM, finance, quality, compliance, compensation, facilities planning, acquisitions, etc. Our teams work with all levels of your organization and leave you with full documentation of new steps needed.
