Health

We provide the financial, analytical, clinical and operational expertise necessary to develop collaborative strategies for managing risk, cost, and quality in the journey toward value-based care.

Our clients include a broad spectrum of healthcare industry stakeholders:

Health systems and physicians
  • Strategy for value-based care and readiness assessment
  • Value-based care model design
  • Clinical transformation and clinical standardization
  • Healthcare data analytics and reimbursement risk assessment
  • Risk adjustment strategy development and financial analysis
  • Healthcare cost driver analysis
  • Population health strategy
  • Payer contracting, partnering, risk sharing strategies and modeling
  • Risk management
  • Total cost of care benchmarks and capitation development and review
ACOs and clinically integrated networks
  • Contracting and risk sharing strategies and modeling
  • Cost of care benchmark and capitation development and review
  • Healthcare data analytics and risk assessment
  • Risk scoring, risk adjustment strategy development, and financial analysis
  • Payer-provider collaboration
  • Risk management
  • Population health strategy
Health plans
  • Health plan strategy, market analysis, product design and pricing – Medicare Advantage, Employer group, and Individual and Family plan coverages
  • Medicare Advantage strategy development and execution
  • Payer-provider collaboration
  • Risk management
  • Actuarial services – pricing valuation, ROI analysis
  • Provider contracting strategy and modeling
  • Healthcare data analytics and risk assessment
  • Risk scoring, risk adjustment strategy development, and financial analysis
  • Healthcare cost driver analysis
  • Population health
  • Prescription drug analysis
  • Dental insurance plans – strategy, contracting, network, benefit design, data analytics and pricing
Employers
  • Health benefits design and pricing
  • Healthcare data analytics and risk assessment
  • Risk adjustment strategy development and financial analysis
  • Healthcare cost driver analysis
  • Direct provider contracting
  • Population health
  • Pharmacy benefit strategies
  • Risk management
  • Actuarial services – valuation, pricing, and ROI analysis
  • Retirement benefit design

Our seasoned team of actuaries, clinicians and researchers collaborate to help you manage your most complex challenges.

Meet some of our healthcare experts

Lena Black
Director, Predictive Analytics

Tom Donlon
Healthcare Practice Leader

Maureen Eichenold
Director, Health Benefits Strategy

Liaw Huang
Director, Data and Risk Analytics

Charlie Larimer
Consultant, Risk and Predictive Analytics

Yi-Ling Lin
Director, Risk Analytics

Scott McKibbin
Consultant, Prescription Drug and Pharmacy Benefit Strategy

Bobby Schenck
Consultant, Risk Analytics

Brian Septon
Principal, Healthcare and Retirement

Tom Terry
CEO

Maureen Tresnak
Director, Healthcare Strategy, Managed Care and Risk-based Contracting

Fan Zhang MD, MHA & MBA
Physician Consultant and Population Health Management

John Zweifler, MD, MPH
Physician Consultant