Healthcare

Services & Technology Organizations

Helping healthcare services and technology organizations sharpen their value propositions and deliver measurable impact for payers, providers, and the healthcare ecosystem

From strategy through execution, our clinicians, data scientists, and technology specialists help organizations harness AI, data, and analytics in healthcare. We work side by side with clients to design, build, and scale digital capabilities aimed at improving efficiency, quality, and patient and provider experience while lowering costs.

HOW WE CAN HELP

Value-creation planning

We help clients develop strategic roadmaps, build organizational alignment, and focus resources on the initiatives that matter most.

Commercial acceleration

We help organizations improve their value propositions, pricing, and sales enablement to achieve above-market growth.

Rewiring in an AI-led world

We help clients redesign core business processes with AI-native approaches by building the supporting technology and guiding the change management needed to improve outcomes.

Operational transformation

We help clients improve their operational performance across costs of goods sold (COGS), SG&A, and organizational and talent levers.

New business building

We help clients define organic and M&A theses, evaluate assets, create blueprints, and build and scale new businesses in emerging value pools.

>500

medical experts leading our healthcare work

2,500+

data scientists and engineers, developers, and designers supporting technology builds

50+

Senior Advisors with deep operating experience and knowledge across the healthcare ecosystem

>80%

participation in major healthcare services and technology transactions over the past five years (>$500M enterprise value)

CAPABILITIES

GRIP

A database with over 14 years of Department of Labor 5500 tax filings for all companies with >100 employees is paired with machine learning to analyze broker activity, commissions, premiums, and ancillary product purchases.

Propensity to spend estimator

Proprietary methodologies to determine wallet size and share estimation to inform commercial strategy, sales targeting, value propositions, pricing, and incentives.

Agentic revenue cycle solutions

Deployment-ready agents and automation to support revenue cycle management (RCM), with capabilities ranging from agentic diagnostics and appeal generation to denials prevention and payment-variance solutions.

Clinician dynamics and location strategy

An approach to evaluate physician specialty attractiveness within a given market, based on demographics, utilization, value-based care penetration, competitor presence, and clinician concentration.

Payer delegated lives (VBC)

A comprehensive market database that maps payer-to-provider risk delegation, including global capitation, professional-only capitation, and more.

Payer product and pricing database

A nationwide view of plan offerings, detailing carrier participation, plan pricing, plan enrollment, hospital and physician networks, benefit design, and Medicare Star Ratings (STARs).

Physician performance tool

A tool to evaluate the characteristics and performance of physician groups based on payer mix, patient population, risk scores, and care management metrics.

Value pools

A comprehensive proprietary model analyzing current and evolving healthcare value pools across payers, providers, manufacturers, pharmacy, and technology services.

EXAMPLES OF OUR WORK

Examples of our work - Services and Technology Organizations

Technology modernization for a healthcare distributor

Created a blueprint for a digital, cloud-based hub to increase process efficiency and improve user experience for a healthcare distributor.

Pricing strategy for an electronic medical records organization

Developed a competitive pricing strategy for an EMR organization, supported by competitive intelligence, value statements, and a sales rollout plan to enable more than 10 percent enterprise growth.

Value-based care growth at a multispecialty group

Installed CareCUBE next-best-action and gen AI care plan generator modules to support value-based care growth, enabling 5,000+ care management actions, onboarding 40+ care allies, and identifying approximately $70 million in medical cost improvements.

Business build for healthcare cost containment

Led a two-year business-building program to help a healthcare services company improve affordability and access in the B2B employer health market through a differentiated provider network, increasing EBITDA from $10 million to over $40 million.

Healthcare insights that power innovation at scale

Healthcare insights that power innovation at scale

Our latest thinking on how healthcare leaders can translate strategy into measurable impact: advancing clinical excellence, elevating patient and member experience, unlocking AI-enabled value, and strengthening performance across the full ecosystem.

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