Healthcare isn’t one-sided, so your strategy shouldn’t be either
Identify strategies that hold up over time with a unified payer and provider view.
As a health plan leader, you’re being asked to deliver growth and margin performance in a market that’s working against you.
Costs are rising faster than your ability to control them.
Regulatory pressure is increasing volatility, especially across Medicare Advantage and Medicaid.
Provider behavior is driving more of your performance than your strategy accounts for.
And when it comes to major decisions, like growth, partnerships, or M&A, most paths lead to the same place: advisors who only see part of the picture.
That’s where strategies fail, and where the wrong decision creates lasting impact.
If your strategy doesn’t reflect how providers behave, it won’t deliver the financial results you expect. And if you’re only led down one path, you’re likely missing a better choice.
See all your options so you can act with confidence.
We determine the right high-stakes decisions with a clear view of how payer economics and provider dynamics actually interact, so you see the full picture and can eliminate weak paths and commit with clarity to a strategy that holds up in the real world.
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You need a complete picture to make the right strategic decision
Payer strategy. Provider insight. One advisor.
Other advisors operate on one side of the market or move too quickly to transactions. We don’t.
Our work sits at the intersection of payer strategy and provider performance, where margin is won or lost, and where other firms lack depth.
We take a strategy-first approach grounded in both perspectives, testing all options before a path is chosen, whether that’s growth, partnership, acquisition, or not moving forward at all.
Not every health plan should scale. Not every deal should close. Not every advisor sees the full picture.
Unlock a more complete perspective. Kaufman Hall brings the clarity needed to power confident decisions that achieve your goals through:
- Deep healthcare expertise and a clear view of provider incentives and behaviors that shape payer financial performance
- A full, unbiased exploration of growth, partnership, and M&A paths
- Strong regional market insight and executive relationships
- Real-time insights from active engagements from a market leader in health plan partnerships
- End-to-end support from strategy through execution
- Deep experience with nonprofit and mission-driven organizations navigating governance, regulation, and long-term sustainability
We focus on the decisions that directly impact margin, growth, and long-term positioning, whether you’re exploring options as a buyer, a seller, or both.
Define where to grow, where to compete, and where to exit based on real financial and operational constraints.
Restructure networks and value-based care strategies to directly impact cost, utilization, and financial performance.
Determine whether a deal should happen, then structure and execute transactions aligned to long-term value, not just near-term opportunity.
Target margin leakage at its source across utilization, variation, and care delivery dynamics.
- Margin improvement tied to both strategy and execution
- Growth strategies that reflect actual market and network dynamics
- Stronger, more effective payer-provider alignment and partnerships
- Health plan M&A decisions that hold up post-close, with fewer surprises
- Confidence you’ve explored the right options, not just the obvious ones
- Health plan growth strategy
- Payer strategy consulting
- Health plan M&A advisory
- Payer-provider partnership strategy
- Provider network strategy for health plans
- Value-based care strategy
- Financial performance improvement
- Healthcare cost management strategy
Healthcare Consulting Services
Discover the right strategies to compete and unlock the complete perspective so you can make confident decisions.
Discover the path that is right for you with an advisor who will help you understand, structure, negotiate and optimize your growth aspirations.
