Payers
Navigant Consulting’s Payer practice is uniquely positioned in that we assist and have experience with payers of all types – State, Federal, commercial and international – to address complex pricing and reimbursement challenges and develop and manage existing programs.
Our robust practice addresses the entire complement of payers. Click on a link below to see how Navigant helps:
Services
Our team is comprised of individuals with PhDs and other advanced degrees in statistics, health policy, health finance and accounting. We have a dedicated team of analysts and information technology professionals to assist with data analysis and implementation issues. We also employ physicians and nurses should there be clinical issues that need to be addressed related to pricing and reimbursement. Our core competencies include:
- Policy evaluation and implementation
- Financing alternatives
- Actuarial analyses and support
- Payment system design, development and implementation
- Process transformation and improvement initiatives
- Organization change management
- Product development and assessment (group, individual, government, etc.)
- Key business systems and processes operational support (customer service, membership, claims, provider, etc.)
- Compliance monitoring
Experienced Team
Clients look to us to provide strategic and practical solutions to the issues they face in trying to serve the wide range of populations that receive healthcare. We monitor legislation and regulatory changes in Washington and state capitals around the nation, and help our clients anticipate the effects of these changes and develop innovative, individualized solutions to emerging issues.
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