Mark Hiller Email & Phone Number

Cornelius, Nc, Us

Cornelius, Nc

Charlotte Metro

United States

I started my business to create more opportunities to work with likeminded industry leaders, committed to moving our healthcare industry to value based models using innovative technologies and solutions. I recognize and understand the issues and the decisions facing our industry concerning the fee for service environment based on volume vs one based on value. My experience comes from helping health care leaders develop meaningful strategies to manage costs and utilization across the care continuum through bundled payment / episode of care at risk arrangements and total cost of care models. Many providers I have worked with have been nationally recognized by Medicare and industry journals for their transformative work moving toward value based models. My experience in advising my clients includes pulling from my strategic planning, operational management, revenue cycle, and service line evaluation expertise, with specialties in: • financial forecasting (new technologies, service lines, mergers and acquisitions, joint ventures, new capital projects, etc.),• cost analysis (staffing, care monitoring, supplies and other expenses), • OI determination (e.g., of new services, value based agreements), • contracting (managed care and value based care arrangements), I love to connect with like minded professionals who share my passion for solving these challenging problems within our industry.

Charlotte, North Carolina Area

* I led the Premier Bundled Payment Services and Collaborative and grew it to become one of the largest in the nation providing education, episode development, care re-design, quality and other measurement, cost reduction identification, physician alignment / gain sharing, etc. * I led the development of Premier's bundled payment analytics solutions.* I led the Premier Accountable Care Collaborative Leadership workgroup which had responsibilities in the areas of ACO organization, governance, financial analysis, contracting, etc. * I developed Premier’s Accountable Care Financial Impact model which has been used by many Premier members to better estimate the potential financial impact on their systems related to the application of accountable care principals. * I developed and implemented a unique revenue management analytical tool that supports a hospitals ability to calculate net patient revenue down to the patient level to reduce waste and errors in the revenue cycle. * I was awarded patent for a model that measures hospital supply intensity across service lines and by MS-DRG. * I have presented at numerous national conferences on bundles and other topics to hospital, physician, and post-acute provider audiences across the nation.* Was recruited to work with C-Suite executives in the areas of strategy and finance.

* Developed EOM net revenue / contractual and bad debt reserves model. * Assisted Business offices in the analysis of over contractualizations, credit balances, billing issues, and payor reimbursement.* DCF model to value privately held stock.* Managed Care negotiations.* Responsible proposed contract analysis.* Corporate managed care contract language template.* Evaluation of the reimbursement adequacy of managed care plans.* Directed the conversion of legacy contract management systems.* Member of due diligence team evaluating acquisition targets.* Developed financial statement projections for hospital targets.* Pro formas for robotic surgery, wound care, and psychiatric services.* Calculated the financial impact Medicare reimbursement changes.* Provided operational assistance throughout revenue cycle.* Ad-hoc analyses for Corporate executive team.

Managed Care contracting, analytics, payor reimbursement, governmental reimbursement, managed negotiations, operational finance, acquisition evaluation, due diligence, etc.

* Hospital / physician contracting joint ventures.* Five-year projected financials * Filing of a proposed HMO application. * Coordinated evaluation of Tricare application. * Valuation analysis. * Evaluated hospital system acquisitions. * Cardiac lab hospital / physician joint venture. * Charge master reviews * Zero based budget. * Impact of military bases closures. Strategic Planning:* Managed care strategic planning. * Hospital system strategic planning.* Post acute acare strategic planning. * Service line strategic planning.

Mba, Finance

Bsba, Finance