Health Plan Advisory

Successful health plans in risk.

Our team of experts support health plans and self-insured employers in a number of key areas required for success including:

• Network development and optimization to drive quality, cost effectiveness and growth
• Data analytics and insights
• Design and implementation of value based payment contracts with providers, including long-term collaborative relationships to jointly grow business and improve outcomes
• Design and optimization of care models for various targeted populations
• Procurements and re-procurements for Medicaid and other state managed programs
• Build or buy decisions for managed services

 

Our Approach

Our team’s deep expertise and experience on both the payer and provider side enables us to bring a distinctive approach to health plans and self-insured employers.

Clients are able to leverage our deep expertise across key strategic and operational areas such as network development, care model implementation, financial modeling, data analytics and value based contacting to achieve their specific procurement, performance or growth goals.

We are particularly expert in helping payers understand how best to support and leverage organize provider groups such as independent physician associations (IPAs), clinically integrated networks (CINs), accountable care organizations (ACOs), health systems and others.