Payer organizations are searching for ways to maintain and grow strategic market positioning, optimize internal capabilities, and effectively coordinate with providers to better capture and manage changing member populations – all in the face of increasing market and regulatory pressure. The way in which payers confront these challenges can take many shapes. But with the right strategy and execution, organizations can offer win-win solutions that benefit payers, providers, and members alike.
Navigant supports payers in growing, securing, and managing the populations they serve through solutions tailored to fit their short- and long-term growth goals, including:
– Operational readiness and implementation, ranging from network strategy to Medicare Advantage application to vendor assessments.
– Growth strategies, including new market entry, operational scale, and strategic partnerships.
– Performance improvement through medical loss ratio reduction, and enhancements in Stars ratings, compliance preparation, and risk adjustment.
– Payer-provider partnership design, including market and provider identification, and partnership structure and implementation.
Our experience with state and federal agencies also puts us in a unique position to partner with managed care organizations to help develop strategies around network adequacy, compliance, and care/case management requirements.
For more information, visit Navigant’s website.
Bill Van Antwerp
Managing Director, Navigant
685 Third Avenue, 14th Floor
New York, NY