Health plan performance
We help payers in all market segments examine and enhance their strategies to meet and exceed evolving member needs and expectations.
Enabling transformative change
Health plans are juggling seemingly competing priorities. They need to reduce total cost of care, improve and document quality, and keep pace with changing regulations. At the same time, they strive to enhance the member experience.
Our ambition is to help them succeed in today's and tomorrow's environment. We do this by developing and implementing strategies that both align and address these priorities.
We serve payers across all market segments who are:
- Focused on securing and improving market position, achieving and maintaining financial sustainability
- Looking to identify and implement (new) and profitable growth strategies
- Seeking analytical and operational rigor to improve performance, and may be time, resource, or talent constrained
What makes us different
Frontline and consulting experience
Consulting expertise and extensive operational background
Unparalleled data assets
Curated data, leading analytics and applied expertise
End-to-end partnerships
Integrated, outcomes-driven solutions
Executive study
Emerging from a highly disruptive year
This study summarizes insights and strategies garnered from over 30 conversations with our community, regional, national, provider-sponsored and Blue plans partners.
Themes that came out of the study include:
- Increasing affordability
- Creating closer provider relations
- Driving growth with scalability
- Offering a best-in-class member experience
- Integrating digital technology
Explore our solutions
AROUND THE CORNER
Here's your place for quick reads to stay current on the latest trends and topics for health plans.
Articles and blogs
Transform underwriting with cutting-edge technology
Learn how to leverage automation, technology and scalable staffing to drive growth.
Video
Navigating government programs
Learn about the application and RFP process for state-sponsored Medicaid programs and about steps health plans can take when entering into government programs.
Video
Preparing for new market expansion
Amy Jensen is VP of RFP Services and Business Development at Optum Advisory Services. In this video, she outlines a new market strategy roadmap and how vendor partners can help health plans to prepare for expansion.
White Paper
Member experience is a winning strategy
For 2023 Star Ratings, performance on the CAHPS measures will be the key differentiator between high-performing and low-performing plans. Read about why focusing on the member experience is a winning strategy for high-performing plans.
White paper
The path to 4+ Star performance
Focus on member centricity to impact 2023 Star Ratings.
Articles and blogs
The customer experience trap
Learn why customer loyalty is decreasing while innovation in member experience is increasing.
Craig Savage
Senior Vice President, Payer Practice
Mallory Van Horn
Vice President, Health Management and Operations
Nathan Funk
Vice President, Government Programs
Dave Chennisi
Vice President, Strategic Technology Partnerships and Growth