Managed Care · Networks · Negotiations

Healthcare's most complex negotiations, handled personally.

Expert guidance that drives financial outcomes, efficiency and growth — three decades of health-plan and hospital leadership, brought to the table for provider groups, health plans and payers.

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Trusted acrossMedicare AdvantageCommercial HMO / PPOMedicaid & Managed Medicaid
The Difference

Most consultants advise from the outside. Christine has run the operations she now negotiates with.

Health-plan operations. Managed-care contracting. Hospital administration. That rare, first-hand command of every side of the table is why Carafelli Healthcare engagements move the numbers.

Health Plan Operations · Managed Care Contracting · Hospital Administration · Network Development
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Accomplished and passionate about transforming clients' healthcare businesses through results-oriented consulting and management.

Christine J. Carafelli
Christine J. CarafelliFounder & CEO · Carafelli Healthcare Consulting & Management
Healthcare leaders reviewing data together in a hospital meeting
30+Years in healthcare leadership
Our Story

A seasoned operator on both sides of the table.

Christine Carafelli is a seasoned healthcare executive with over 30 years spanning health-plan operations, managed-care contracting and negotiations, and hospital operations and administration. As CEO of Carafelli Healthcare Consulting & Management, she leverages that dual perspective to help clients build robust provider networks, optimize operational workflows, and negotiate strategic partnerships.

An almost life-long resident of Las Vegas since 1975, Christine is deeply committed to Nevada — and to results-oriented consulting that transforms the businesses she serves.

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“Just because it's challenging doesn't mean we shouldn't do it. The engagements worth taking are the ones that change the business.”

— Christine J. Carafelli
Who We Serve

Three audiences. One trusted advisor.

Provider Groups

Stronger payer contracts, expanded networks and the analytics to know your worth at the table.

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Health Plans

Network development, provider relationships and operational workflows that scale with your members.

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Payers & IPAs

Strategic partnerships, value-based arrangements and contracting strategy grounded in real operations.

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Nationwide experience · Nevada roots

Healthcare never holds still.

Rates move, networks shift, and the rules change underneath you. Carafelli Healthcare helps provider groups, health plans and payers meet that head-on — steadier contracts, stronger networks, and revenue that reflects the care you actually deliver. From the health plan to the hospital, Christine has been in the room where these decisions get made, and she brings that vantage point to every engagement.

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Capabilities

Built to transform the business of care.

01

Managed Care Contract Negotiations

Rate strategy and negotiations across Medicare Advantage, commercial and Medicaid lines.

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Health Plan Relationship Development

Building durable, productive relationships between providers and payers.

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Provider Network Development

Designing and expanding networks that perform — access, adequacy and quality.

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Revenue Analytics & Optimization

Turning data into margin through disciplined revenue and performance analysis.

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Value-Based Care & Incentive Programs

Structuring risk and incentive arrangements that reward better outcomes.

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Strategic Partnership Development

Growth strategy, business development and partnerships that scale.

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Christine J. Carafelli
Leadership

Christine J. Carafelli

Founder & Chief Executive Officer

A results- and outcome-driven leader whose expertise spans health-plan operations, managed-care contracting, provider credentialing, network management, and hospital administration. Accomplished and passionate about transforming clients' healthcare businesses through hands-on consulting and management.

Medicare & Medicare AdvantageCommercial HMO & PPOMedicaid & Managed Medicaid
Answers

Frequently asked questions

What does Carafelli Healthcare Consulting & Management do?

Carafelli Healthcare helps provider groups, health plans and payers negotiate managed-care contracts, develop provider networks, strengthen payer relationships and optimize revenue — led by Christine J. Carafelli, a healthcare executive with more than 30 years of experience.

Who does Carafelli Healthcare work with?

Three audiences: provider groups seeking stronger payer contracts and stronger relationships with payers, health plans building or expanding their networks, and payers and IPAs developing strategic partnerships and value-based arrangements.

What is managed-care contract negotiation?

It's the process of setting rates and terms between providers and health plans or payers across Medicare Advantage, commercial HMO/PPO and Medicaid. Carafelli Healthcare brings first-hand health-plan and hospital operating experience to secure reimbursement that reflects the value you deliver.

Do you work outside Nevada?

Carafelli Healthcare is based in Las Vegas and deeply committed to Nevada, but Christine's health-plan and hospital experience spans national relationships, so engagements are not limited to the state.

What makes Carafelli Healthcare different?

Most consultants advise from the outside. Christine has run health-plan operations and hospital administration and negotiated managed-care contracts firsthand — a rare command of every side of the table.

How do I start working with Christine?

Every engagement starts with a conversation. Reach Christine directly at christine@carafelliconsulting.com or use the contact form below to discuss your negotiation, network or revenue goals.

Let's begin

Every engagement starts with a conversation.

Tell me about the negotiation, the network or the number that's keeping you up. I read every message myself.

Your message goes straight to Christine’s inbox. Prefer to write directly? Email christine@carafelliconsulting.com.