Reinventing payor relationships

We have deep experience in reinventing payor relationships. We help our clients build successful risk-based business lines and prepare successful RFP responses for Medicaid managed care and other state initiatives.

Our team addresses strategic initiatives and works with management teams to build, oversee, and develop operational systems to support a client’s new strategic vision. This includes building collaborations for growth and diversification to improve patient care, and transitioning these relationships into successful, value-based healthcare delivery models.

We consult across the health care continuum from hospitals and ACOs to post-acute care settings and FQHCs.

Case studies

Entering a Risk-Sharing Contract

A major, university-affiliated health system with an 800-bed hospital, 3 community hospitals, regional trauma center, comprehensive network of ambulatory care services, and a 1,110 member [...]

Hospital System Medicaid Participation

Inadequate Medicaid reimbursement rates forced a major safety-net children’s hospital system to assess its ability to continue providing primary care to low-income children. The Background At the [...]

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