Health Plans Consulting
With the healthcare system evolving to become more patient-centric, health plans and payers are vital in determining the quality and affordability of the healthcare services delivered. Member experience, along with the ability to leverage both technology and data analytics to implement innovative and transformational solutions, have a pivotal role in improving outcomes and lowering costs.
We integrate data driven decisions with member-centered care while streamlining administrative processes and reducing operating costs. Your organization maintains full control of your ecosystem when aligning with our high-quality consulting partnership. We deliver personalized services and effective dynamic strategies that maximize industry leading technologies and best practices for navigating through complex business challenges.
Our services
Medical Cost Optimizer
Leverage the power of data analytics to optimize networks and identify meaningful metrics that redirect savings toward improving patient outcomes and services.
Pay for Quality Advisory
Transformational data strategies that minimize risks and enhance effectiveness of your payment models to lower cost and improve quality of care delivery.
Population Health Strategy
Reduce risks and improve outcomes by analyzing the data needs through the power of data analytics and interventions to gauge the impact of care across populations.
Process Advisory Services
Development of stream-lined end-to end integrated processes for system integrations, modernization and strategies that deliver operational efficiencies.
Analytics and Data Governance
Achieve operational effectiveness with transformational architecture, advanced technologies and automation, that improve compliance through effectively managing data insights for better decision making.
Payment Integrity & Strategy
Increase transparency and minimize financial risks by adapting readily available tools that allow organizations to analyze, plan and monitor quality programs.
Featured content
Strategies for real-time point-of-care solutions
Learn how to efficiently improve quality, HEDIS and risk performance.
Healthcare Innovation Index
Unlock the power of data to drive healthcare innovation.