We cocreate go-to-market strategies for entering commercial-insurance and government-insurance (for example, Medicaid and Medicare) markets. We also help payers develop new products (for example, high-performance networks).

We improve the risk-adjustment design of our clients’ ACA and Medicare Advantage programs.

We help clients design, price, and improve performance for their commercial- and government-insurance products.

Using our analytical skill set, we can model a broad range of topics, including private-exchange strategies, competitive-payer landscapes, and proposal scenarios, for clients to use in internal capability building.

We size revenue and cost opportunities that will enable organizations to improve margin and reinvest in growth (for example, by reducing medical cost through payment-integrity initiatives for an insurer and by increasing the operational efficiency of a hospital’s operating room).

We provide enterprise-transformation support (for example, in M&A) to help organizations quickly capture new initiatives.

We help clients understand and develop perspectives on legislative reform (for example, new proposals on the Patient Protection and Affordable Care Act [ACA] and changes to the Centers for Medicare & Medicaid Services guidance) for their businesses.