Provider Services

Enterprise Strategy
Pricing Strategy Development
Payer Strategy Development
Payer Negotiation Strategy & Analytical Support
Innovative Payer Partnership Development
Managed Care Performance Transformation
Value-Based Strategy & Contracting Support

Payer Services

Provider Network Development & Management
Innovative Provider Partnership Development
Value-Based Program Strategy
Insurance Product Development
Healthcare Strategy Consulting

Guiding Providers & Payers Through Challenging Terrain

Ridgeline Health Group is a healthcare strategy consulting firm that helps you navigate payer-provider relationships to achieve long-term success.

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The healthcare landscape has rapidly evolved & has changed how payer/provider partnerships work

Today’s Operating Environment Presents Challenges:

Historical contracting strategies are less effective

Negotiations are more difficult

Revenue growth is less predictable

Leading a healthcare organization through uncertainty and change is tough.

Healthcare organizations are facing pressure to control costs, improve quality, and transition to value and risk-based contracting models. Finding the right path to success can be a challenge.

The question is, how do you navigate these changes and position your organization for long-term success? That's where we can help.

Ridgeline Health Group is your guide to achieve continued success.

Ridgeline Health Group is the pre-eminent healthcare strategy consulting firm focused exclusively on relationships between providers and payers. Our team of nationally recognized industry experts understands how to unlock value in provider-payer relationships and tailor strategies to help you succeed.

Whether you’re looking to develop a new strategy for your payer or provider relationships, achieve better results for your contracting organization, or negotiate complex, high-stakes contracts, you'll come away with a proven strategy that positions you for long-term success.

Provider Services

Provider Services

Provider Services

Enterprise Strategy
Pricing Strategy Development
Payer Strategy Development
Payer Negotiation Strategy & Analytical Support
Innovative Payer Partnership Development
Managed Care Performance Transformation
Value-Based Strategy & Contracting Support

Payer Services

Payer Services

Payer Services

Innovative Payer Partnership Development
Managed Care Performance Transformation
Value-Based Strategy & Contracting Support
Insurance Product Development

Our team of nationally recognized industry experts understands the intricacies of the payer-provider world.

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With a proven strategy you can...

optimize revenues.

achieve organic growth.

ensure financial resilience.

optimize revenues.

achieve organic growth.

ensure financial resilience.

Success

Leading Multiple Major Negotiations for an Academic Health System

An academic health system needed to complete multiple large, complex negotiations with market leading health plans in quick succession.

Developing a Payer Strategy and Innovative Payer Partnerships for a Community Health System

A community health system had achieved success in value-based contracting programs and was looking to expand these efforts to manage total cost of care across key payer segments.

Developing a Pricing Strategy and Leading a Major Negotiation for a Community Health System

A community health system was concerned about its price position relative to key competitors and had a critical negotiation with the largest commercial health plan in the market approaching. 

Lead your organization with confidence, no matter what comes your way.

01
Tell us your goals.
Share your organization's current situation and objectives in managing provider-payer relationships.
02
Develop your strategy.
Our nationally recognized industry experts will create a tailored strategy and execution plan to help you overcome challenges you face along the way.
03
Enjoy continued success.
Position your organization for continued success in a rapidly evolving healthcare landscape.

We’re looking for passionate individuals to join our team

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