Insights.

Our trusted team of thought leaders provides the latest insights and perspectives on important health industry and management consulting trends and topics.

Topic

Content Type

Health plans: Big bets for convergence & strateg...

The last decade has witnessed widespread consolidation in the US health plan market as insurers look to grow membership and stakeholder value.

Transparency in coverage is here

Pricing transparency laws are an opportunity to meaningfully improve patient experience and innovative leaders in healthcare are using this.

Medicare annual enrollment period: Driving impact du...

A major regional health plan was looking to identify and execute innovative partnerships to increase their 2021 Medicare Advantage (MA) enrollment.

Improving data quality to decrease provider administ...

A leading Health Plan was responsible for managing data for a network of over 34,000 physicians and healthcare professionals.

Transforming PMO for growth

A large Medicaid health plan wanted to align their corporate initiatives to their strategic goals and operating plans across multiple business.

Creating hospital contracting processes that maximiz...

A new parent corporation, created from the merger of two complementary New York Health Plans, took steps to combine the two organizations.

Improved claims payment accuracy (through more effec...

A regional Health Plan was challenged with medical claims “leakage” due to a number of factors including inappropriate charges, duplicate submissions.

Health Industry

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