{"id":12154,"date":"2018-09-17T05:26:51","date_gmt":"2018-09-17T05:26:51","guid":{"rendered":"https:\/\/avalere.com\/?page_id=12154"},"modified":"2025-06-30T10:42:26","modified_gmt":"2025-06-30T14:42:26","slug":"plans","status":"publish","type":"page","link":"https:\/\/advisory.avalerehealth.com\/plans","title":{"rendered":"Health Plans"},"content":{"rendered":"
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Health Plans<\/h1><\/div>
We know healthcare. The breadth and depth of our expertise is exceptional and informed by outstanding performance for a broad array of Fortune 500 companies since 2000. Our content is objective, driven by unique data assets, and unfailingly creative. Check us out.<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=”quote-wrapper who-we-help-why” css=”.vc_custom_1642539876711{background-color: #ffffff !important;}”][vc_column el_class=”container”][vc_column_text css=”.vc_custom_1642614243024{border-top-width: 2px !important;border-top-color: #eff1f5 !important;}”]\n

Why Work with Us<\/p>\n

Position for Success<\/h2>\n
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Health plans should match their strategy with data to meet the needs of their patients better.<\/p>\n

Our team of health plan experts combines first-hand industry experience, unique policy perspective, and access to unmatched data and analytics capabilities. Count on us to help you evaluate and manage risk, determine and optimize provider partnerships, expand into new business lines and markets, and prepare for future changes that will impact your business.<\/p><\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row equal_height=”yes” el_class=”blue-radial-background”][vc_column el_class=”container” css=”.vc_custom_1642540558788{border-top-width: 4px !important;}”][vc_row_inner equal_height=”yes”][vc_column_inner el_class=”who-we-help-boxes” width=”1\/2″ css=”.vc_custom_1642540696647{border-top-width: 4px !important;border-top-color: #f36b37 !important;}”][vc_column_text]\n

Improve Financial Performance<\/h3>\n

Thoroughly evaluating your risk and quality performance, we perform third-party, end-to-end assessment encounter data system (EDS) submission to identify opportunities to improve your risk score accuracy. We also identify and improve factors that cause low Stars performance, including supporting the appeals process.[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=”who-we-help-boxes” width=”1\/2″ css=”.vc_custom_1642614532464{border-top-width: 4px !important;border-top-color: #00ffd5 !important;}”][vc_column_text]\n

Optimize Provider Networks<\/h3>\n

Gain transparency into provider performance in new markets and within your existing network. Our access to Inovalon’s MORE2<\/sup> Registry\u00ae gives us commercial, Managed Medicaid, and Medicare Advantage data. Analyzing this unique data from the lens of our government program and value-based provider arrangement expertise, we can optimize your provider network for growth and profitability.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner equal_height=”yes”][vc_column_inner el_class=”who-we-help-boxes” width=”1\/2″ css=”.vc_custom_1642614544272{border-top-width: 4px !important;border-top-color: #74c800 !important;}”][vc_column_text]\n

Achieve Program Compliance & Operational Effectiveness<\/h3>\n

Transform operations while maintaining program compliance with our deep policy expertise and hands-on evaluation of your operational capabilities and gaps. Confidently expand into new markets and lines of business, considering the most important drivers of compliance and profitability.[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=”who-we-help-boxes” width=”1\/2″ css=”.vc_custom_1642541235615{border-top-width: 4px !important;border-top-color: #003857 !important;}”][vc_column_text]\n

Define Strategic Priorities<\/h3>\n

Develop a practical strategy with our highly collaborative approach facilitating leadership retreats and cross-functional work groups to understand the impacts. We work closely with every stakeholder to identify realistic steps and get you from here to there.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row el_class=”who-we-help-experts” css=”.vc_custom_1643213371515{background-color: #ffffff !important;}”][vc_column el_class=”container”][vc_row_inner][vc_column_inner][vc_column_text]\n

Health Plan Capabilities<\/p>\n

Our Experts<\/h2>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner remove_bottom_col_margin=”true”][vc_column_inner el_class=”who-we-help-expert-details” width=”1\/3″][vc_raw_html css=””]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[\/vc_raw_html][\/vc_column_inner][vc_column_inner el_class=”who-we-help-expert-details” width=”1\/3″][vc_raw_html]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[\/vc_raw_html][\/vc_column_inner][vc_column_inner el_class=”who-we-help-expert-details” width=”1\/3″][vc_raw_html css=””]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[\/vc_raw_html][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1642541668517{padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}” el_class=”who-we-help-insights”][vc_column css=”.vc_custom_1630544800991{padding-right: 0px !important;padding-left: 0px !important;}” el_class=”container”]

Master the Evolving Market<\/h2><\/div><\/div>
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