Health Plans and Payers

The professionals at Jimenez Consulting Solutions (JCS) understand that payers are going through an unprecedented transformation.  Whether they are dealing with the impact of the Federally-Facilitated Marketplace (FFM), state-based exchanges, continually evolving regulatory changes, or the impending effects of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA), the impacts - and challenges - are significant.

Our experienced consultants understand the challenges facing healthcare payers today and have the expertise to assist them in:

• Providing value while containing costs
• Leveraging innovation as a market differentiator
• Staying ahead of complex federal and state regulations
• Responding to public scrutiny and demand for transparency
• Modernizing legacy IT
• Effectively managing covered populations

Our professionals have worked with large for-profit health plans that operate in every state, government payers, and small local plans to design and implement programs and technologies to address their critical needs and challenges.

Contact us to see how we can help you with:

• Business Intelligence and Analytics
• Clinical Integration
• Health Information Exchanges
• IT Strategic Planning
• Population Health Management
• Program and Project Management
• Regulatory Matters
• Software Selection and Integration