Industry expertise · Healthcare
Healthcare
Providers are balancing labor costs, denials, and consumer expectations against thin margins. We help healthcare organizations restructure operations, revenue cycle, and data so care delivery is sustainable.
The challenge
Healthcare providers face mutually reinforcing pressures: persistent clinician shortages and wage inflation, reimbursement and pricing pressure, and rising denial and prior-authorization burdens that push margins toward breakeven. At the same time, patients arrive with consumer expectations for transparent pricing, digital scheduling, fast access, and seamless communication.
AI is being deployed across the revenue cycle, coding, claims, and prior authorization by a large majority of systems, creating an arms race with payers that adds operational and compliance risk without governance and measurement discipline. Our approach brings the operational and data rigor we apply in other complex, people-intensive industries to hospitals, physician groups, and health services organizations.
Recent engagement profiles
- Led a revenue cycle process improvement program for a provider organization, reducing denial rates and days in accounts receivable.
- Designed a workforce and scheduling model addressing clinician burnout, overtime, and agency staffing costs.
- Implemented an operating-room and clinic throughput program, increasing case capacity within existing facilities.
- Evaluated AI prior-authorization and coding vendors for a system, defining governance, metrics, and clinician oversight.
- Restructured supply chain and purchased-services spend for a multi-site provider with outcome-based savings tracking.
- Built a patient access redesign covering digital scheduling, price transparency, and contact-center consolidation.
Functional experience
We have helped our clients with innovative solutions in the following functional areas:
Revenue cycle and margin
- Denials prevention, coding accuracy, and A/R management
- Payer contracting analytics and cost-to-collect reduction
- Service-line profitability and cost accounting
Workforce and care operations
- Staffing models, scheduling, and agency-use reduction
- Clinical throughput: OR, ED, and clinic capacity management
- Burnout, retention, and workforce pipeline planning
Patient experience and access
- Digital front door, scheduling, and communication redesign
- Price transparency and consumer payment experience
- Contact-center and referral-process consolidation
AI governance and data
- Revenue-cycle AI vendor evaluation and guardrails
- Performance dashboards built from cost and quality data
- Compliance-aware automation operating models