Healthcare

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