Health plans and related health service organizations operate at a critical nexus in the health industry.  

Health plans and related service organizations operate at a critical nexus in the health industry.  It's here that the delivery of health services to members intersects with the business elements...

For the smaller and medium sized - and new health plans: it is very, very difficult to manage all the necessary components of the business.  In this business, smaller does not mean less complex.  As a result, we see many health plans not performing at optimal levels including poor customer service, financial losses (or less than optimal profitability) and poor operations creating to much internal confusion so that the effort to keep the ship afloat is huge.

In addition, the pace of innovation surrounding health plans is huge.  New strategies, technologies, carve outs, etc present opportunities and potential pitfalls for health plans.  Implementing these new items into your operation WHILE maintaining consistent profitability and customer service levels.

health care delivery, cost controls, financing, risk management, products, innovation, consumer engagement, provider, quality - and a multitude of other issues meet to provide quality care at a competitive price.

Successful strategic direction and management of these businesses is complex - no matter what the size.  Layers of moving parts must be properly aligned and calibrated to achieve success.  Todays use of multiple vendors makes this more difficult.  In our experience, we see organizations struggling to maintain proper control over the moving parts - or just not fully appreciating the complexity and how it all fits together.  This is often the root cause of poor or less than optimal performance.  

Regardless if its strategy or operational work, ConsentiaHealth quickly breaks through the complexity and works collaboratively at all levels in the organization and quickly integrates with your established teams.  This includes external vendor partners.  In most of our engagements, we've been looked upon as a mentoring source for staff....xxxx  Due to our extensive experience, we hit the ground running and tend to be action/results oriented.  Generally speaking, we're not 

we know how it fits together and how it should run.  From innovation to management

**we are expert collaborators....

We're not fond of endless theoretical discussions - and powerpoint to pontification - we're action oriented

The "learn as you go" model simply does not work here.

Successful organizations have developed effective mechanisms to 

many new opportunities health plans have a difficult job sorting ouat will work for their plan and what will not.  its also new health plans (sometimes provider based) underestimating the complexity of the business and losing money (or not as much profit) as a result

we know what a successful health plan looks like

its important that you keep up with the new technology and services - though we see health plans underestimate how its fits with their company/delivery susyem/etc and poorly executed with causes financial losses, slipping customer service problems and future negative surprises.  Protect your core business and add capabilities wisely.

Health plans and their direct service providers operate at an important center of the health care industry.  These complex businesses balance product design, health delivery, risk management, pricing, integrated operations, customer service and many other important elements necessary to successfully complete in their chosen markets.

Health plans and their supporting companies stand at the nexus of continued and rapid industry evolution.  Health plans must effectively balance innovation and the integration of new programs, with essential and fundamental business requirements.  ACO's, value-based contracts, specialty carve-outs are but a few examples of new innovations.  ConsentiaHealth helps you change the flat tire without stopping the car - because you can't stop the car and lose market share, money, etc.

how to implement/integrate w/o disrupting the rest of the profitable busines