The healthcare industry is rapidly evolving - shifting the traditional fee-for-service models to value-based care, while simultaneously expanding localized care, in a globalized marketplace. A systematic approach to navigate healthcare changes is required to achieve sustainable success.  Optimity’s healthcare experts focus on working with payers and providers to deliver high quality care, maximize value, and contain costs.

As an advisory firm, Optimity collaboratively engages with our clients, enabling them to navigate change, mitigate risk and be positioned to succeed in an industry that is re-inventing itself at its very core. Real world, practical experience allows our advisors to:

  • Influence and translate policy into implementable, innovative business and technology opportunities
  • Innovate and operationalize new health pathways including social, financial, medical, behavioral and pharmacy
  • Accelerate game changing product and service launches
  • Assist clients to better serve customers, nurturing all stakeholders
  • Design distributed data networks and connectivity across diverse health subsectors
  • Deploy health intellectual property and best practices globally
Solutions 

Clinical Integration/ Accountable Care

Facilitate the integration of care across the continuum of services, including preventive, outpatient, inpatient acute hospital care, post-acute and palliative care to improve health outcomes

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Consumer Engagement

Redefine the consumer experience by creating a member-centric culture that values the member voice, serves as an advocate and measures what matters

Government Programs

Understand strategic, operations and technology complexities of healthcare government agencies

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Quality Revenue Enhancement

Excel in today’s performance-driven health ecosystem with a balance between outreach, costs and bonus payments

Strategy Transformation

Achieve sustainable growth through innovative long-term transformation strategies for market, product and innovation.

Managed Care Pharmacy 

Drive pharmacy program value and ROI for health plans, PBMs and TPAs through innovative strategies, efficient operations and relationships, quality clinical design, and pharmacy analytics

Life Sciences

Improve health outcomes and contain costs with end-to-end operational, strategic, clinical and compliance solutions

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Claims Accuracy

Increase bottom line results with forensic-like insights to existing and deeply-rooted operational issues that impact financial outcomes

New Core

Evolve traditional transaction-based payer systems to meet needs of the new member-centric, value-based ecosystem