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 – the latest strategies health plans are taking in response to healthcare reform and public and private exchanges – and 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