From strategy through execution, our clinicians, data scientists, and technology specialists help organizations harness AI, data, and analytics in healthcare. We work side by side with clients to design, build, and scale digital capabilities aimed at improving efficiency, quality, and patient and provider experience while lowering costs.
How we can help
Value-creation planning
We help clients develop strategic roadmaps, build organizational alignment, and focus resources on the initiatives that matter most.
Commercial acceleration
We help organizations improve their value propositions, pricing, and sales enablement to achieve above-market growth.
Rewiring in an AI-led world
We help clients redesign core business processes with AI-native approaches by building the supporting technology and guiding the change management needed to improve outcomes.
Operational transformation
We help clients improve their operational performance across costs of goods sold (COGS), SG&A, and organizational and talent levers.
New business building
We help clients define organic and M&A theses, evaluate assets, create blueprints, and build and scale new businesses in emerging value pools.
Capabilities
GRIP
A database with over 14 years of Department of Labor 5500 tax filings for all companies with >100 employees is paired with machine learning to analyze broker activity, commissions, premiums, and ancillary product purchases.
Propensity to spend estimator
Proprietary methodologies to determine wallet size and share estimation to inform commercial strategy, sales targeting, value propositions, pricing, and incentives.
Agentic revenue cycle solutions
Deployment-ready agents and automation to support revenue cycle management (RCM), with capabilities ranging from agentic diagnostics and appeal generation to denials prevention and payment-variance solutions.
Clinician dynamics and location strategy
An approach to evaluate physician specialty attractiveness within a given market, based on demographics, utilization, value-based care penetration, competitor presence, and clinician concentration.
Payer delegated lives (VBC)
A comprehensive market database that maps payer-to-provider risk delegation, including global capitation, professional-only capitation, and more.
Payer product and pricing database
A nationwide view of plan offerings, detailing carrier participation, plan pricing, plan enrollment, hospital and physician networks, benefit design, and Medicare Star Ratings (STARs) across Affordable Care Act (ACA), Exchange, and Medicare Advantage plans.
Physician performance tool
A tool to evaluate the characteristics and performance of physician groups based on payer mix, patient population, risk scores, and care management metrics (for example, hospital admissions and emergency department visits).
Value pools
A comprehensive proprietary model analyzing current and evolving healthcare value pools across payers, providers, manufacturers, pharmacy, and technology services.
Examples of our work
Technology modernization for a healthcare distributor
Created a blueprint for a digital, cloud-based hub to increase process efficiency and improve user experience for a healthcare distributor.
Pricing strategy for an electronic medical records organization
Developed a competitive pricing strategy for an EMR organization, supported by competitive intelligence, value statements, and a sales rollout plan to enable more than 10 percent enterprise growth.
Value-based care growth at a multispecialty group
Installed CareCUBE next-best-action and gen AI care plan generator modules to support value-based care growth, enabling 5,000+ care management actions, onboarding 40+ care allies, identifying approximately $70 million in medical cost improvements, and raised annual wellness visit completion rates.
Business build for healthcare cost containment
Led a two-year business-building program to help a healthcare services company improve affordability and access in the B2B employer health market through a differentiated provider network, increasing EBITDA from $10 million to over $40 million.
FEATURED EXPERTS
Gunjan Khanna
Senior PartnerPittsburgh
Leads McKinsey’s healthcare innovation work with investors to improve quality access and new delivery models, serving industry...
Zahy Abou-Atme
PartnerNew York
Brings deep experience in healthcare, helping leading payers, provider-led health plans, and investors leverage advanced analytics...
Jessica Lamb
PartnerNew York
Serves entities across the healthcare industry, leveraging analytics to improve performance and outcomes
Sanjiv Baxi
PartnerBay Area - San Francisco
A practicing physician who advises health systems and healthcare services entities on strategy, holistic revenue excellence,...
Dr. Melvin Mezue
PartnerNew York
Advises healthcare organizations on performance improvement, operations, go-to-market strategy, and innovation to reduce healthcare...