ECG advises traditional and provider-owned health plans across the spectrum, including Medicare Advantage, Medicaid managed care, commercial plans, and third-party administrator services. Our payer consulting team guides health plans in the development of effective strategies to build partnerships, grow membership, and manage cost of care in both government programs and commercial products.

Our payer experts are trusted advisers to:

• National insurance carriers
• Regional health plans
• Provider-owned health plans
• Third-party administrators
• Management service organizations
• Pharmacy benefit managers
• Dental and vision plans
• Other risk-bearing entities (e.g., independent physician associations)

Our payer service expertise includes:

• Compliance and audits
• Payer analytics
• Financial turnaround
• Health plan compliance
• Value-based care
• Health plan strategy
• Medicaid consulting
• Medicare star ratings
• Network alignment models
• Operations improvement
• Process optimization
• Product design
• Payer strategy
• CMS program audits