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Healthcare Experts Making a Difference

ARDX® is an award-winning healthcare management and technology consulting firm known for simplifying complex regulations, delivering integrated quality outcomes, providing high-impact training, and sustaining revenue growth for various government agencies.

As a trusted partner to the Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services for more than 10 years, ARDX® has developed proven data-driven approaches that allow us to collaboratively work to improve the quality of care and decrease the cost of care for our nation’s most vulnerable populations.

Healthcare Policy & Compliance

Healthcare policy and compliance are the driving forces behind many of our clients’ daily operational activities. Yet, sometimes deciphering the policy and ensuring compliance can get complex.

ARDX®’s deep-rooted knowledge of healthcare legislation allows us to simplify complexities in the following areas:

  • Medicare Advantage (Part C) Policies
  • Medicare Prescription Drug (Part D) Policies
  • Health Insurance Marketplace
  • Health Informatics
  • Program Evaluation & Management
  • Encounter Data
  • Independent Verification and Validation (IV&V)
  • Risk Adjustment Data Validation (RADV)
  • Third Party Adaptive Control & Security Assessments
  • Operational Policy & Outreach Communication

Population Health Management

Population Health Management continues to become a major strategy for governments and the private sector to improve health outcomes of the consumers they serve and is a direct influence on the movement from volume to value.  It’s estimated in 2019, 60 cents of every Medicare dollar will be attached to an outcome measure. Population Health Management focuses on health outcomes but inherent to this focus, are the components of member and provider behavior, predictive modeling, interventions, measurement, and accountability.

ARDX®’s solutions and capabilities within these domains can help our clients navigate and implement various Population Health strategies including:

  • Population & Risk Stratification
  • Big Data Analytics
  • Data Management & Analysis
  • Business Intelligence & Predictive Analytics
  • Integrated Care Management Models
  • Accountable Care Organizations

Payment Reform

As the healthcare industry undergoes a massive shift from fee-for-service, to pay-for-performance ARDX® helps our clients translate payment policies into operational practices and compliance.

ARDX® has developed an integrated approach to help our clients in the following areas:

  • Encounter Data
  • Quality Payment Program (MACRA)
  • CMS Innovation Models & Grants
  • Medicaid – 115A Social Security Innovation Projects
  • Operational & Clinical Performance
  • Clinical Documentation Improvement

Patient-Centered Care & Outcomes

Patient-centered care focuses on improving various aspects of the patient-physician interaction by utilizing data-driven, evidence-based approaches.

ARDX® will work with our clients to understand and implement the tenets of Patient-Centered Care & Outcomes in the following areas:

  • Behavioral Health Integration
  • Community Outreach Programs
  • Chronic Disease Management
  • Electronic Health Record Management
  • Socioeconomic Determinants of Health (SDOH)
  • Patient-Centered Medical Home