Strategy and Leadership

Health Plan Advisory

In addition to working with provider clients, we provide a variety of advisory services for managed care organizations including health plans, MSOs, ACOs, and IPAs.  We understand the dynamic changes going on in the payer market Рthe latest strategies health plans are taking in response to healthcare reform and public and private exchanges Рand have extensive experience in developing and refining managed care product strategies. Whether this is creating a co-branded health insurance product for a local market, acquiring a health plan, developing a start-up health plan, or enhancing the performance of a risk-bearing organization, we have the experience to help your organization.

The emergence of public and private insurance exchanges, private label plans, and health plan acquisitions of provider organizations (and vice-versa) are all areas in which our experts are well versed. Our services include overall strategic positioning, assistance with start-up activities, financial modeling, feasibility assessments for new product lines, state and federal application preparation, operational improvement evaluations, and in-depth turnaround activities. We have a team of health plan executives, clinicians, operations specialists, care management leaders, and strategic planning experts with hands-on health plan experience.

We can assist you with:

  • Strategic/Business planning
  • Regulatory/Application filings
  • Operations improvement
  • Financial management
  • Care management
  • Delivery network contracting