Special Expertise
- Healthcare Business Consulting
- Contract Analysis & Negotiation
- Medical Travel Operations
- Medical Tourism Destination Development
- ASC Administration
- Healthcare Cost Containment for Employers
- Former HMO Provider Contracting Mgr
- Former TPA Owner
- Former OR Nurse
- Former Firefighter-EMT
- Health Law Paralegal
- Google-certified in Digital Marketing
- FEMA-certified in Healthcare Disaster Recovery
- BLS / ACLS Current Certification
- HFMA Follmer Bronze Award
- HFMA Reeves Silver Award
- HFMA Muncie Gold Award
- HFMA Distinguished Speaker Award (x5)
- Editorial Board: Several Publications
AT-A-GLANCE
Year Started in
Practice
1983
Accepting New Clients?
Yes
Home
Airport
St George, Utah
Airport: (SGU)
Passport
USA
Client
Types
- Hospitals
- ASCs
- Physician Groups
- Concierge & DPC Physicians
- Labs
- Imaging Providers
- Investors
- Attorneys
- Self-Insured Employers
- Government Agencies
- Hotels & Resorts
- Pharma
- Medical Device, and
- Insurers
Intellectual Property
Rights
20 Books published
3 Software programs
2 Trademark registrations
Patents pending
International
Recognition
- Academician – Ukrainian Academy of Health & Human Rehabilitation
- Lifetime Achievement Awards – Medical Tourism
Language
Fluencies
English
SERVICES OFFERED
Reimbursement & Contracting
- Managed Care Contract Analysis & Markup
- Rate Increase Negotiations
- Initial and Renewal Contract Negotiation
- Healthcare Revenue Management Improvement
- Provider-Employer Contracting
- Exclusive Provider Contracts
- Medicare Advantage / Managed Medicaid
- Dealing with Lockouts /Termination
- Shared/Full Risk Contracting; Capitation, Pay for Performance
- Medical Expense Sharing Plan Contracts
- Integrated Physician Hospital Contracts – IPA, PHO, MSO, ACO
- Denied Claims Appeals
- Cash-pay Surgery Programs
- Cash-pay Imaging programs
- Published Price Transparency
- Surgical Bundled Price Integrity / Prototyping
- 0% Interest Patient Finance Program (Non-recourse)
- Training Seminars and Master Classes
Clinic – Physician Consulting
- Direct Pay Primary Care Strategy & Startup
- Concierge Medical Practice Strategy & Startup
- Primary Care Practice Startup
- Specialist Practice Startup
- Returning to Private Practice Post Hospital Employment
- Brand Audits / Marketing Audits
- Hospital-employed Physician Group Creation & Operations
- Physician Employment Contract Analysis & Negotiation
- IPA, PHO, ACO MSO Creation & Operations
- Rebranding
- Reputation Management
- Social Media Marketing
- Market Research
- Web Design / Online Marketing Strategy
Investors, Tech & Pharma
- SME Market Insights
- Market Penetration
- Product & Program Evaluation
- Payor Contracts Strategy
- Payor Contracts Negotiation
- Brand Development
- Brand Audits
- Mystery Shopping
- Business Plan Review
- Concept & Prototype Evaluation / Verification
- Red Teaming / FMEA
Training & Professional Development
- Master Class Workshops
- Seminars
- Webinars
- Onsite Training
- Private Coaching
- Sales Team Training & Development
- Association Events
- Corporate Events & Retreat Workshops
Dispute Resolution
- Payor-Provider Dispute Mediation
- Physician Dispute Mediation
- Litigation Support
- Court Testimony
Provider-Employer Contracting
Guidance, tips and actionable insights to help benefits managers reduce their annual benefit spend while designing high-satisfaction benefit packages for employees.
- Cost Containment Strategies
- Domestic Medical Travel
- International Medical Travel
- Unbiased Claim Spend Analysis
- Medical Travel Benefit Design
- Free Pharmacy Discount Programs
- Executive Checkup Programs
- Worksite Health Centers / Clinics
- Telehealth / Telemedicine
- Pay-for-Performance Programs with Providers
- Bundled Price Surgery Program
- Program Development – SPD Modification
- Rate Negotiations (eliminate RBP risks)
- Initial and Renewal Contract Templates
- Initial and Renewal Contract Negotiation
- Exclusive Provider Contracts
- Proprietary Provider Network™ (PPN) Creation
- Shared/Full Risk Contracting; Pay for Performance
- Integrated Provider Group Contracts
- Negotiated Price Transparency
- Surgical Bundled Price Integrity
- Delegated Credentialing & Privileging
- Vendor (TPA & Broker) Proposal Evaluation
- Plan Participant Roll Out
- Case Management for PPN and Medical Travel
- Attendance at Site Inspections/Negotiations
Health Tourism / Medical Travel
- Domestic Medical Travel Startup (USA) International Medical Travel Startup
- Group Health Contract Negotiation
- Diwan VIP Health Travel Attaché
- International Services Procurement
- International Business Development
- Medical Tourism Cluster Design & Operations
- Medical Travel Website Content Strategy
- Medical Travel Hotel Operations & Strategy
- Cash-pay Surgery Programs
- Health Tourism Destination Development
- Medical Travel Hospital Programs
- Medical Travel for ASCs
- Dental Tourism Business Development Pharma Tourism Program Development
- International Accreditation Preparation
- Medical Tourism Program Operations Medical Tourism Facilitator Training
- International Branding & Marketing Strategy
- Medical Tourism Competitive Analysis
- Medical Travel Package Pricing
- Ideal Customer Persona Development
- Content Marketing Development
- Social Media Marketing & Advertising
- Medical Travel – Balneo and Thalasso
- Medical Travel – Substance Abuse Rehab
- Medical Travel – Cosmetic & Wellness Spas
- Medical Travel – Real Estate Projects
- Medical Travel Case Management Software
CURRENT AFFILIATIONS
COMPANIES
- AskMariaTodd™ (Principal)
- St George Surgical Center, LLC (Director, Business Development)
- SurgeryShopper.com (Chief Transformation Officer, SME)
- Higowell (Shareholder, SME)
SOFTWARE PRODUCTS
- Managed Care Contract Analyzer v2.0™
- Higowell Medical Tourism Marketplace
- Higowell h-PriceBETA (Bundled surgery pricing calculator)
- Surgery Price Comparison Tool v3.1
CONFIRMED SCHEDULED APPEARANCES
USA
26 October 2019 – Chicago – Becker’s ASC 26th Annual Meeting: The Business and Operations of ASCs “Medical Travel Program Development for ASCs: Direct Contracts with Employers and Unions”
international
23 October 2019 – PanaSalud “DEVELOPMENT OF THE MEDICAL TOURISM CLUSTER: From Individual Stakeholder to a National Medical Tourism Strategy”