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
ABOUT

We are the nation’s premier healthcare consultancy focused on navigating the complex relationships between providers & payers.

about-img-top

Navigating Change

Developing Strategies

Optimizing Relationships

Enhancing Performance

Navigating Change

Developing Strategies

Optimizing Relationships

Enhancing Performance

Ridgeline Health Group is the pre-eminent healthcare strategy consulting firm focused exclusively on payer-provider relationships. Our team helps redefine the relationship between providers and payers to unlock value, transform care delivery and achieve financial vitality to ensure consistently exceptional patient care.

Our team of nationally recognized industry experts help forge the right path through any complicated situation. We understand the intricacies of the payer-provider world and know how to tailor strategies to help you succeed.

Our Story

In a rapidly evolving healthcare industry, it’s hard to stay ahead of the competition. Nationally, providers and payers are facing slowing revenue growth and increasing costs which are compressing margins. Shifting market dynamics are fundamentally changing the relationship between providers and payers. Pressure to control healthcare costs and improve quality, increased price transparency, and the ongoing transition to value and risk-based contracting arrangements present challenges. Negotiations are more difficult. Revenue growth is less predictable. Historical strategies are less effective.

We formed Ridgeline Health Group to help providers and payers navigate this complex market landscape. Ridgeline is the pre-eminent healthcare strategy consulting firm focused exclusively on payer-provider relationships. Our industry experts will help forge the right path through any complicated situation. We understand the intricacies of the payer / provider world and know how to tailor strategies to help you succeed.

We leverage our expertise and team of seasoned senior experts to redefine how providers and payers interact. Ridgeline Health Group aspires to accelerate the transformation of the US healthcare industry by redefining the relationship between provider and payers to support innovative models of care delivery and improve the health of our communities. Whether you’re looking to develop a new strategy for your provider or payer relationships, achieve better results for your contracting organization, or negotiate complex, high-stakes contracts, Ridgeline Health Group will create a proven strategy to succeed.

Our Mission

about-mountain

Our mission is to redefine relationships between providers and payers to unlock value, transform care delivery, and achieve financial vitality to ensure consistenly exceptional patient care.

Understand implications of market changes

In a rapidly evolving healthcare industry, Ridgeline helps you understand how the challenges created by shifting market dynamics create opportunities for your organization.

Develop, execute tailored strategies

Ridgeline partners with you to develop and execute revenue and contracting strategies aligned to your enterprise goals and tailored to your organization’s strengths and market positioning.

Achieve financial resilience

With the right strategy, your organization will be on the path to improved financial resilience and sustainability.

Deliver consistently exceptional patient care

Ultimately, our work supports the continued delivery of consistently exceptional patient care.

In a rapidly evolving healthcare industry, Ridgeline helps you understand how the challenges created by shifting market dynamics create opportunities for your organization.

Ridgeline partners with you to develop and execute revenue and contracting strategies aligned to your enterprise goals and tailored to your organization’s strengths and market positioning.

With the right strategy, your organization will be on the path to improved financial resilience and sustainability.

Ultimately, our work supports the continued delivery of consistently exceptional patient care.

Ridgeline Health Group offers services that help providers and payers forge the right path through a constantly evolving healthcare landscape.

Provider Services

Ridgeline helps healthcare providers develop payer strategies to optimize revenues and competitive positioning in support of their core mission – delivering exceptional patient care.

provider-services-about

Payer Services

Ridgeline helps payers navigate an ever-changing competitive landscape and regulatory environment, working with providers to meet and exceed their members’ expectations.

payersabout

Partner with experts well-versed in the intricacies of relationships between providers and payers.

Ridgeline Health Group is dedicated to helping our clients develop strategies to optimize their payer-provider relationships. We are always looking for talented individuals who want to help shape the healthcare industry.

Love what you do
Love what you do
Love what you do

Join our team

fulfull

Lorem Ipsum

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt.

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt.

Lorem ipsum dolar sit amet consecteur ipsum dolar sit amet dolor

WE’LL LIGHT YOUR WAY

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo.