Healthcare Consulting Services

Broad expertise, in-depth experience, and roll-up-our-sleeves support for both payers and providers who need assistance meeting the challenges of an evolving, complex healthcare industry.

Bring Your Major Initiatives to Life

Complex challenges require expertise and experience

Achieving success in the healthcare industry requires operating at a fast pace. Evolving regulations, advances in technology, the transition to value-based care, and growing consumerism are just a few of the many pressures pushing payers and providers to continually innovate and transform.

The complexity of these initiatives, coupled with having to split your energy and focus among multiple goals and priorities, can make it difficult to bring the best-intentioned plans to fruition.

That’s why we’re here.

Leverage our wealth of knowledge and experience

Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with the Centers for Medicare and Medicaid Services.

Each of our team members has a minimum of 15 years of experience which enables us to provide the leadership, guidance, and management skills that will help you solve problems, innovate, and improve performance.

Our goal is not only to help you keep pace in the industry, but also to anticipate upcoming changes that may impact your organization. Optimally, we help you strategize to stay ahead of the curve.

Addressing Today’s Most Pressing Healthcare Issues

Healthcare Consumerism

Increase member satisfaction and loyalty

We help you with:

  • Market intelligence
  • Strategic planning
  • Product development
  • Member engagement
  • Consumer experience optimization

Value-Based Healthcare

Improve care coordination and transparency

We help you with:

  • Market assessment & planning
  • Analytics and actionable business intelligence
  • Product design and development
  • Innovative provider value-based contracting
  • Clinical integration and transformation
  • Quality and price transparency

Process & System Modernization

Enhance efficiency

We help you with:

  • Enterprise business and technical architecture
  • System assessment & optimization
  • System selection & implementation
  • Business transformation management
  • Robotic process automation
  • Program/project management
  • Business and technical analysis & documentation

Population Health

Improve outcomes

We help you with:

  • Care model design
  • Quality improvement
  • NCQA accreditation
  • Clinical integration/interoperability
  • Health information exchange
  • Vendor assessment, selection, implementation, and optimization

Government Programs

Increase member satisfaction and loyalty

We help you with:

  • Market entry
  • Organizational development
  • Program and system implementation
  • Mock audit, audit prep, and remediation
  • Compliance training

Analytics & Insights

Attain actionable insights

We help you with:

  • Data Governance
  • Data curation and confidence
  • Data warehousing
  • Report development
  • Custom visualizations and BI on-demand
  • Actionable insights and interventions that drive sustainable results

Compliance Services

Mitigate Risk and Optimize Operations

We help you with:

  • Claims adjudication optimization
  • Enterprise risk management
  • Fraud, waste, and abuse issues
  • HIPAA privacy and security
  • Audit support
  • Services for healthcare attorneys

Solutions We Provide