Who We Help

Payors

We support the Payor space with our consultants that have a minimum of 15 years' experience either working directly for Payors or working for organizations that support Payor success and operational excellence. Our Payor consultants are respected leaders, operational masters, data warriors, and audit generals. Their credentials ranges from medical record coders to compliance officers to trained data scientists. Whether you are looking for a program launch, a program reset or refinement, a program evaluation, or a simple consultation on strategy execution - our consultants can quickly and seamlessly support you across a range of specialties for effective improvement and execution including billing, compliant risk adjustment, revenue cycle management, quality adherence, member engagement, provider contracting, and care enablement for your members.

Vendors

We support vendors in the healthcare industry with our consultants that have been at the forefront of technology and innovation over the last 20 years. Our consultants have been entrepreneurs, platform builders, and digital innovators. We know which vendors are leading the industry in specialized areas and which vendors are playing "catch-up". Whether you are looking for a competitive landscape evaluation, support to build a new platform or service offering, an end-to-end review of a current product or roadmap, or just need a consultative pulse on industry trends - our consultants can support you across a range of specialties including utilization management, payment integrity, risk adjustment, quality, provide networks, member engagement, and direct care. Don’t wait to go-live or spend thousands of dollars on one-time, one-hour quick consultations. Talk to our deep-knowledge experts to get you and your team on track fast, efficiently, and effectively.

Providers

We support the providers, ACOs, healthcare systems, MSOs, and a range of other provider groups in the healthcare industry with our consultants that have worked for both payors and providers. Our provider-focused consultants understand the frustration of managing the disparate relationships, programs, data, and systems across a range of managed care programs and for a variety of payor payment models. Whether you are looking for help building a strong financial program, reconciling or reporting financial metrics, consolidating operational initiatives, strategizing for effective payer contract negotiations, taking on new value-based or capitated arrangements, or just a consultative insights on continuous improvement efforts or program integrity - our consultants can help you navigate effectively preparing, managing, and executing on multiple payment strategies that exist in pay-for-performance value-based programs.