Healthcare
All Markets. All Sizes. HLTHWORKS serves health plans across Medicare Advantage, ACA, and Medicaid. Our primary vertical is health plans because it is where we have the deepest operating experience and the most measurable proof of impact.
Proof Points
- $500M+ impact in one health plan — integrated Star & Risk Adjustment redesign
- $245M Risk Adjustment accuracy recovered in one health plan — retrospective design, data mapping, submissions, and in-office implementation
- Markets served: Medicare Advantage, ACA, Medicaid
Executive Audience
- CEO
- CFO
- COO
- Chief Actuarial Officer
- Chief Data Officer
- CTO/CIO
- Chief Medical Officer
- Chief Star/Quality Officer
