Healthcare Payers & Providers

With PSS, you receive the strategy and consulting support you need to achieve your business goals.

c-industries-2-hc-payor-providerLeverage our experience across the healthcare payer & provider value chain to make critical business decisions and evaluations. Our experience includes a wide range of clients, including insurers, HMOs, health systems, pharmacy benefits managers, and self-funded employers.

We have developed specific expertise in population health management, care delivery, incentives, and funding arrangements. Over the past decade, we have helped several clients to make resource allocation decisions, assess the ROI of various activities, and make strategic decisions that reflect policy/reimbursement policies and local market dynamics.

Each project is structured to meet each client’s specific needs, but our key capabilities include the following:

Customer Segmentation Analysis

Improve your marketing and customer satisfaction through our accurate and innovative approach to customer segmentation analysis. Our extensive experience helping leading health plans includes the development and implementation of a HIPAA-compliant approach to link data from internal systems, third party demographic analyses, and an online survey. By linking multiple data sets in this way, we create a customer segmentation system that identifies "high value" households for future targeted marketing efforts.

Organizational Redesign to Improve Business Line Management

Engage in a constructive reworking of your organizational design with our experienced support. We have worked with several large health plan and provider clients to revise their organizational design and to implement reorganization programs. These projects often include recommendations to refine the individual roles and responsibilities for senior client management.

Improved Resource Allocation Decisions

More accurately assess the probability of success of launching new initiatives with our data-driven analytics, primary and secondary market research, and deep industry experience.

Streamlining Operations & Improving Alignment

We draw upon experience with other leading healthcare industry participants to help prioritize business opportunities, improve performance of existing businesses, and improve organizational efficiency. We also help clients adjust existing asset portfolios to address current market conditions, including the evaluation of potential opportunities for mergers, acquisitions, and joint ventures.

We work with a wide range of clients, including:

  • Health Insurers
  • HMOs/Special Needs Plans
  • Integrated Delivery Networks
  • Provider Groups
  • Pharmacy Benefit Managers
  • Specialty Healthcare Services