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We help health plans optimize costs using proven quality management, risk adjustment, and financial modeling techniques, including the design of leading medical loss ratio management transformations.
We work with payers to leverage data and analytics to pinpoint opportunities for performance improvement and service optimization.
We help health plans launch cloud-based, interoperable member and provider engagement strategies that differentiate them in the market, increase member acquisition and retention, and improve efficiency.
We help payers develop and implement environmental sustainability initiatives tailored to their mission that have a powerful positive impact on the future of our planet.
We work with payers to mitigate risks, improve margin, and grow and optimize their networks via strategic partnerships, joint ventures, health plan formation, and payment model design and innovation.
As Payer/Provider Leader, Rich has helped hundreds of hospitals and health systems, payers, and state health organizations choose optimal paths for their markets, organizations, and communities.
Eric has 20+ years specializing in helping payers strategically and operationally design, sustain, and scale successful business models.
A renowned healthcare executive with more than 20 years of industry experience, Nestor leads complex enterprisewide transformation strategies for health plans, government payers, and other healthcare organizations.
As CMS team leader, Greg has provided management and strategy consulting services to federal government and private sector clients for more than 20 years.
Hanford brings expertise working with Medicaid managed care and fee-for-service programs emphasizing quality improvement, program monitoring, and pay-for-performance.
Complexity demands a trusted guide with the unique expertise and cross-sector versatility to deliver unwavering success. We work with organizations across regulated commercial and public sectors to catalyze transformation and pioneer new directions for the future.
