Provider-health Plan Integration has been saved
Services
Provider-health Plan Integration
Using health care financing as the catalyst for innovation
Many health care providers are weighing a move into the health plan space. Already, there are more than 220 provider-sponsored plans in the US—and they represent less than 10 percent of the market, so many more are likely to follow. However, few of these pioneers are leveraging the full potential of the new model.
How we can help
Our end-to-end solution can empower a health care provider to stand up an operational, licensed health plan that can advance new reimbursement models and a differentiated patient experience. For many provider organizations, this transformation presents a path to sustained profitability.
Our services include:
- Value-based care, network strategy, and bundled payments financial strategy
- M&A strategy-white label options
- Health plan synergy models
- Market attractiveness-prioritization
- Product design and pricing
- Licensing
- Core administration platform strategy and implementation
- Staffing models
- Tax strategy
- Change management
- Patient and consumer experience
- Sales and distribution strategy
- Risk and compliance
- Fraud analytics
Download the PDF
Key potential benefits
- Develop and implement provider-health plan integration reimbursement models
- Capitalize on the economic benefits of a transition to a risk-based business model
- Generate enhanced margins to finance consumer-centric care transformation
- Access to accelerators, methodologies, and capabilities instead of building from scratch
- Reduce the execution risk and cost of transition to a providerhealth plan integration model
- Unlearn the volume habit and generate greater margin through a change in service mix
Meet the leaders
Recommendations
Consulting awards and recognition
Working together brings honor