Three audiences. One trusted advisor.
Provider groups, health plans and payers each face a different side of the same system. Carafelli Healthcare has worked all three — and brings that full-picture perspective to every engagement.
Start a conversationProvider Groups
For physician groups, IPAs and medical groups, the payer relationship is where margin is won or lost. Carafelli Healthcare helps provider groups walk into every negotiation knowing their worth — with the data, the leverage and the strategy to secure reimbursement that reflects the value they deliver. That includes value-based arrangements — structured so the group is paid for closing care gaps and improving outcomes, not just for volume.
Health Plans
For health plans, Carafelli Healthcare brings first-hand health-plan operating experience to network and provider strategy — building networks that meet adequacy and perform, and provider relationships that scale with your membership. It also covers value-based care strategy and negotiation — arrangements built so quality measures, star ratings and provider performance move together.
Payers & IPAs
For payers and IPAs, Carafelli Healthcare develops the strategic partnerships, value-based arrangements and contracting strategy that move the business forward — all grounded in how healthcare operations actually work.
Not sure where you fit?
Tell Christine about your organization and goals — she'll point you to where the leverage is.
christine@carafelliconsulting.com