Helping You Make Healthcare Better

Strategy and advisory services. We guide your path to partnerships with payors & at-risk providers, help translate your solution benefits to the language they speak when solving member and patient challenges, speed your access to market, and help ensure your team is equipped to achieve growth goals.

We help you successfully build, align, and message your solution to healthcare decision makers, connecting the dots to show them how you can solve their problem, driving results and growth for your team. 

Can you clearly articulate the incentive and economic structures that drive health plans and at-risk provider groups (how they’re measured and compensated), including:

  1. Value-Based Care (VBC)
  2. Per Member Per Month (PMPM) and at-risk contracting arrangements
  3. The STAR ratings program (HEDIS, CAHPS, HOS) including weighting and prioritizations
  4. Risk Adjustment (HCC) measures, how they’re weighted, and why they matter
  5. Healthcare Resource Utilization (HCRU)

To truly align your solutions to the problems payor are trying to solve you must first understand how existing quality metrics, risk adjustment, and related incentive programs influence behavior and how both revenue and margin are influenced. This should begin for you at product R&D and continue through to marketing and sales execution.

Your goal is to ensure your team truly understands, builds for, and properly messages your solution’s benefits from the payor/provider perspective. This is not something you want to be trying to retrofit once your solution is on the market. 

We arm your team with the specific knowledge and toolset to deliver meaningful solutions by solving the problems health plans and at-risk providers face, rapidly and radically improving your direction & speed up the growth curve.