WHO WE SERVE

Let HLTHWorks help you redesign, grow, and refine your business to enhance healthcare delivery, population health outcomes and drive efficiency.

Book your executive strategy session

Performance Diagnostic

Timeline: 4-6 weeks

The HLTHWORKS Performance Diagnostic is a 4–6 week deep assessment of your organization’s financial, operational, and clinical performance gaps. Output: a CFO-grade roadmap — prioritized by financial impact, implementation feasibility, and organizational readiness.

TARGET AUDIENCE

Coming Soon

TIMELINE BREAKDOWN:

  • Weeks 1–2: Discovery & Data Intake — Stakeholder interviews, performance data review, organizational assessment
  • Weeks 2–3: Gap Analysis — Financial, operational, clinical, and AI maturity gap identification and quantification
  • Weeks 3–5: Roadmap Design — Prioritized recommendations, financial impact modeling, implementation sequencing
  • Weeks 5–6: Executive Readout — CFO-grade roadmap presentation, board-ready summary, engagement planning

AI Center of Excellence Assessment - FEATURED

Timeline: 3-4 weeks

Assess your organization’s AI maturity across data governance, technology infrastructure, operating model, and execution readiness. Identifies where your AI investment is stalled and what it will take to connect it to Star, Risk Adjustment, and care performance outcomes.

TARGET AUDIENCE

CDOs, CTOs, and COOs whose AI strategy isn’t translating to financial results.

Quality, HEDIS and Star Impact Acceleration Review

Timeline: 2-4 weeks

A focused assessment of your current Star performance trajectory — identifying the highest-impact HEDIS measures, CAHPS and HOS improvement opportunities, and pharmacy measure gaps within your current performance cycle. Prioritized by financial impact and closure probability.

TARGET AUDIENCE

CMOs, COOs, and quality leaders with an in-year Star score target.

Risk Adjustment Accuracy & Completeness Review

Timeline: 3-4 weeks

A comprehensive assessment of your Risk Adjustment accuracy and completeness across HCC documentation, provider coding patterns, data submission integrity, and CMS audit exposure. Quantifies the revenue gap from incomplete or inaccurate condition capture.

TARGET AUDIENCE

CAOs, CFOs, and compliance leaders.

Regulatory Risk Assessment

Timeline: 2-4 weeks

A targeted assessment of your organization’s regulatory exposure across CMS Medicare Advantage, Medicaid, and ACA requirements. Produces a prioritized risk register and remediation roadmap.

TARGET AUDIENCE

Coming Soon

“Pain Points” - Executive Strategy Session

Timeline: 90 Minutes

A high-impact 90-minute working session with RaeAnn Grossman — structured around your highest-value strategic opportunity or most urgent performance challenge. Not a sales call. A working session where your leadership team leaves with a clear point of view, a prioritized action framework, and a concrete next step.

TARGET AUDIENCE

CEOs, CFOs, COOs, and C-suite leaders at health plans, medical groups, labs, and PBMs.

assessment

The HLTHWorks Assessment Approach

Every HLTHWorks assessment includes:

  1. Data analysis and leadership interviews
  2. Benchmarking against industry best practices
  3. Financial impact modeling
  4. A prioritized transformation roadmap
Most assessments can be completed in 4–12 weeks and often uncover tens of millions in financial opportunity.
results

The Result

Healthcare organizations that complete HLTHWorks assessments gain:

  • Clear visibility into performance gaps
  • Reduced regulatory exposure
  • Improved financial performance
  • A practical roadmap for transformation