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 conversationFor 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.
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.
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.
Tell Christine about your organization and goals — she'll point you to where the leverage is.
christine@carafelliconsulting.com