Pillar 1 - Our Mission:
We are dedicated to facilitating a sustainable and well-timed transition of the healthcare industry to value-based care on a large scale, with a primary focus on improving patient outcomes, reducing overall Medicare spending, and enabling individuals to age in place with greater independence and happiness. Additionally, we aim to lower the total cost of care across the continuum by assisting our partners in moving away from traditional fee-for-service models and negotiating financially sound and realistic value-based care agreements. Importantly, our advisory services go beyond deal development; we are skilled and experienced in operational transformation, infrastructure development, clinical workflow enhancement, and launching multidisciplinary teams. We also specialize in selecting and implementing appropriate care coordination tools, as well as building or sourcing data and analytical capabilities to deliver new, powerful, and actionable insights that ensure the success of your accountable care-optimized organization.
Pillar 2 - Whom We Serve:
We maintain a strategic focus & priority to partner with the three client segments we believe are the key and essential stakeholders driving the transformation of healthcare economics at scale:
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Provider Groups: This includes Accountable Care Organizations (ACOs) and Independent Practice Associations (IPAs) that take on financial risk and focus on value-based care.
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Health Plans & Health Systems aligned w/ a Risk-Bearing Entity: We partner with commercial health plans that want to share more financial risk or create ACO partnerships. This includes Medicare organizations, such as ACOs or Medicare Advantage (MA) plans, involved in initiatives that promote accountable care. We also support Managed Medicaid Care Organizations and other entities that handle Special Needs Populations (SNPs) and seek to improve their care strategies and financial results.
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Partners in Value-Based Care: We assist organizations that help transform fee-for-service care for both payers and providers. managing complex SNP populations looking to advance their Accountable Care Strategy, Operations, Financial Outcomes, etc.
*We encourage you to reach out for testimonials or to schedule a meeting with our leadership team to learn about our experiences, the outcomes we have achieved, the types of clients we represent, our geographic presence (both past and future), and the sizes of populations we manage and provide advisory services for!
Pillar 3 - What We Provide:
Leveraging deep expertise in managed care operations and strategic governance (Medicare & Medicaid), we deliver comprehensive support across the value-based care spectrum:
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Development and negotiation of VBC deals across the spectrum of risk; starting with claims analysis, we utilize proprietary benchmarking data to determine the optimal deal structure (e.g., upside-only/shared-risk through to full, global capitation) based on a proprietary risk-assessment analysis that includes both financial and operational risk(s). We then develop the optimal risk-aware deal-term parameters, including caps on upside and downside risk, shared-savings splits, and financial safeguards such as risk corridors, stop-loss provisions, and reinsurance sizing.
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We simplify the deal development and negotiation process for you, ensuring full transparency in decision-making to keep you confident.
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We significantly build on that confidence by offering our comprehensive enablement and organizational transformation playbook. This resource provides you with all the data and insights you need to plan, build, launch, sustain operations, govern, and maximize deal upside throughout the year (no matter where you fall on the VBC deal risk spectrum).
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Comprehensive dynamic P&L modeling and forecasting integrating MLR optimization through cohort analysis, LTV/retention trends, cost of care initiatives, delegated vendor contract performance, Stars/HEDIS upside, CMS rate guidance, risk adjustment regulatory impacts, and benefit utilization monitoring—with continuous re-modeling and actionable recommendations
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Product portfolio optimization and pricing strategy across Commercial, Medicare Advantage, and Dual products, focused on maximizing ROI, patient outcomes, KPIs, GTM strategies, and margin enhancement through high-value benefit design
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Executive-level strategic communication, including board-ready presentations and impactful reporting that drives informed decision-making
