Health Systems & Provider Organizations

HealthScape is dedicated to serving clients in the healthcare industry, with an emphasis on health plans and the surrounding ecosystem of companies, which enables us to provide a unique perspective to our health system clients. Our firm has a discrete set of capabilities to assist these clients in areas such as patient navigation, Senior Markets integration, business model and partnership evaluation, and accountable care strategy and implementation support.

We leverage leading-edge analytics coupled with industry experience to help our provider organization clients grow, improve performance, and transform their businesses:

  • Provider-Sponsored & Self-Funded Health Plans
  • Payer Channel Strategies
  • Roadmap to Risk

HealthScape is a close affiliate and Preferred Business Sponsor for the Health Plan Alliance (HPA), a leading professional association of provider-sponsored plans. Within the overall client base, HealthScape regularly works with provider-sponsored plans through a range of service offerings, and we recently completed a value-based payment survey that provides insight into alternative payment model activity within Medicare Advantage and other lines of business across a significant portion of providers-sponsored plans.

We have particular expertise in:

  • Market evaluation and strategic planning
  • Product design and launch
  • Member acquisition and retention
  • Organizational design and management assessment
  • Operational improvement and business process outsourcing
  • Risk adjusted revenue improvement
  • Cost benchmarking and reduction

Our team is comprised of a group of seasoned experts with considerable experience helping clients enter, implement, monitor, and improve performance in a variety of heavily regulated markets. We have particular expertise in:

  • Senior Market (Medicare) portfolio strategy
  • Medicare Advantage/Managed Medicaid expansion
  • Direct-to-employer contracting
  • Sales and marketing strategies for bundled products
  • Financial navigation services for patients

Our extensive experience with health plan clients allows us to bring valuable insights to our provider clients focused on taking increased risk across their patient portfolio. We understand the core capabilities required, key success factors, and act as a valuable resource as providers embark on organizational transformation, including: 

  • Enterprise risk management function development
  • Accountable care capability enablement
  • Enhanced claims analysis and reporting
  • Value-based managed care contracting strategies
  • Business planning (build/buy/partner) for health plan functions
Provider-Sponsored & Self-Funded Health Plans
Payer Channel Strategies
Roadmap to Risk