Better Performance Solutions

Smart processes mean better performance—and better care for everyone.

Health care is complex, and quality is crucial to excellent outcomes. Our performance services help you deliver care that works—improving the patient experience with new, more efficient processes.

$38M Post-payment fraud, waste, and abuse identified and recovered in the last three years by Medicaid agencies with our Program Integrity team.
30,000 Incarcerated individuals in county correctional facilities potentially covered by our Medicaid Inmate Exclusion Policy Waiver models.
$260M In payments to New Hampshire hospitals for uncompensated care provided to Medicaid and uninsured individuals, with expert financial modeling from our team.
83,000 Vaccine doses administered to more than 50,000 individuals through the COVID-19 Vaccine Corps, powered by our analytics team’s dashboard.

Our Better Performance Services

  • Business Intelligence and Advanced Analytics

    For health care organizations, the right analytics—tracking care, analyzing costs, or identifying improvements—can mean better intelligence and outcomes. We offer industry-tested analytical tools to reveal meaningful insights and enable sustained success.

  • Clinical Pharmacy Services

    For payers offering a drug benefit, the drive toward positive patient outcomes must be balanced with the need to control drug costs. Our clinical pharmacy team’s innovative services help organizations cost-efficiently maximize pharmacy benefit access for members.

  • Health Care Operations & Regulatory Consulting

    Regulatory compliance and operational expertise are vital to the delivery of safe, high-quality care. We develop readiness reviews, streamline practices, and create action-oriented solutions to help your organization achieve peak performance and patient safety.

  • Medicaid Waiver Design and Evaluation Services

    With Medicaid waivers, states can better meet residents’ needs with programming that improves quality, expands coverage for covered services, and controls costs. We offer strategic consulting to help you develop innovative Medicaid waiver approaches.

  • Payment Rate Methodology Development and Modeling Services

    For state Medicaid and other public agencies, regular review of payment methods helps support policy goals. Our experts recommend and implement payment methodologies so you can enable the right patient and member health outcomes.

  • Program Integrity and Compliance

    Medicaid agencies must monitor for post-payment fraud, systemic waste, and abuse to comply with state and federal regulations. We collaborate with clients and partner entities to mitigate abuse, while extending educational opportunities to providers.

  • Program Monitoring and Evaluation Services

    As a health or human services agency or nonprofit, you need continued monitoring and evaluation of your programs and policies. We offer actionable feedback so you can implement improvements, reach benchmarks, sustain funding, and better serve your members.

  • Regulatory Policy Development and Analysis

    Improving the health of our communities requires equitable access to health and human services—but the legal framework for these programs is complex. We develop effective policies to help you address social challenges, improve outcomes, and reduce costs.

  • Strategic Planning, Process Improvement & Project Management

    Effective strategic planning, process improvement, and project management are critical to the delivery of health or human services. We help clients create realistic plans, with coaching and mentoring you need to evolve processes over time.