Frequently asked questions by our clients

• Do we have the right set of affordability and quality programs and capabilities across LOBs?
  
• Are our programs delivering the expected medical cost savings and ROI on cost to deliver?
  
• How do we compare to industry best practices?
  

Our solutions

• Actuarial performance evaluation of functions and programs
  
• Operations and organization performance evaluation
  
• Gap analysis identification relative to affordability and quality best practices
  

Frequently asked questions by our clients

• How should we evolve our affordability capabilities and portfolio to ensure we are competitive with emerging market trends?
  
• What capabilities are competitors focusing on? What capabilities are employers, brokers and members demanding?
  
• What functions and capabilities should we prioritize for improvement?
  

Our solutions

• Payer and vendor market landscape and trends
  
• Competitive assessment
  
• Total addressable market sizing
  
• 3, 5, 10-year visioning and case for change
  
• Capability sourcing approaches (build, buy, partner)
  

Frequently asked questions by our clients

• How should we design our programs and interventions to effectively manage medical and pharmacy costs?
  
• Which members should we target and prioritize?
  
• What are the specific interventions and actions needed to deliver to drive savings?
  

Our solutions

• Analytic-driven member cohort / cost category opportunity identification
  
• Identification and stratification logic design
  
• Program and intervention design
  

Frequently asked questions by our clients

• What are appropriate staffing levels and roles given our strategy and clinical programs?
  
• How should our teams be organized?
  
• How do our teams need to coordinate across functions to optimize performance outcomes?
  

Our solutions

• Operating model structure and functional interaction model
  
• Organizational structure development and redesign
  
• Coordination model change management and activation
  

Frequently asked questions by our clients

• What enabling infrastructure do we need to support our affordability and quality portfolio?
  
• How can we ensure our technology is scalable and purpose fit for our clinical programs?
  
• What is the business case for enabling infrastructure to support our clinical programs?
  

Our solutions

• Clinical program enablement strategy
  
• Technology architecture design
  
• Enabling infrastructure business case
  

Frequently asked questions by our clients

• What is the portfolio of affordability products we need to deliver in the market?
  
• How should we position and price our products? How does this differ across LOBs?
  
• How do we optimize our cost to deliver relative to projected demand / uptake and medical cost savings?
  

Our solutions

• Affordability portfolio design and optimization
  
• Go-to-market monetization approach
  
• Pricing and performance guarantee development
  

Frequently asked questions by our clients

• How can I de-risk and accelerate our execution and launch activities?
  
• How can stage build to deliver on time and to budget?
  
• How do we ensure transformative efforts and investments will see the projected return on investment?
  

Our solutions

• Execution planning and management
  
• Product roadmap and business requirements definition
  
• Business system requirements
  
• Process workflow development
  
• Clinical and non-clinical training development and delivery
  
• Post launch stabilization
  
• Reporting design and generation – customer, operational outcomes