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Redefining the organization's value proposition to address evolving purchaser and patient needs and expectations. Shifting from a traditional fee-for-service model to value-based care, where the focus is on delivering high-quality, cost-effective care and improving patient outcomes.
Kaufman Hall helps healthcare organizations navigate payer relationships, optimize resource utilization, improve patient outcomes, and achieve financial sustainability in a managed care environment.
How We Help
Virtuous Cycle of Value Creation and Capture
Optimize
- Renegotiating rates that are aligned with market trends
- Enhancing clinical offerings to meet evolving consumer preferences and keeping patient services within the system as appropriate
- Increasing near-term value-based contract performance through clinical documentation accuracy and quality improvement
- Optimizing key functions and comprehensive maintenance of CDM
Grow
- Understanding unmet market demand
- Increasing patient loyalties through network strategies
- Expanding inorganically through strategic M&A activities
- Creating and capturing value through provider partnerships built on value-based care
Disrupt
- Rearchitecting the payer mix through strategic reset of select payer relationships
- Developing new and/or alternative and joint-investment models with payers
- Disintermediating payers and partnering directly with key purchasers
Our Experts
Joyjit Saha Choudhury is a Managing Director with Kaufman Hall in the firm’s Strategy and Business Transformation practice.
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Sarah Wiley is a Managing Director with Kaufman Hall in the firm’s Strategy and Business Transformation practice.
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John Poziemski is a Managing Director, Consulting Innovation Leader at Kaufman Hall, focused on Payor-Provider Strategy.
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Webster Macomber is a Senior Vice President in Kaufman Hall’s firm’s Strategy and Business Transformation practice.
Scott Christensen is a Managing Director at Kaufman Hall and a member of the firm’s Strategy and Business Transformation practice.
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