Provider Services

Enterprise Strategy
Pricing Strategy Development
Payer Strategy Development
Payer Negotiation Strategy & Analytical Support
Innovative Payer Partnership Development
Managed Care Performance Transformation
Value-Based Strategy & Contracting Support

Payer Services

Provider Network Development & Management
Innovative Provider Partnership Development
Value-Based Program Strategy
Insurance Product Development

Cautionary tales: Why some payer-provider initiatives have stumbled

feature image

With the continued blurring of the traditional roles of providers and payers, many health systems are considering the development of a provider-sponsored health plan. While this strategic move can be game changing, there are several important challenges which should be considered before adopting this 'go-it-alone' strategy.