Convergence Solutions | FTI Consulting
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Convergence Solutions

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Payers, providers and life science companies are converging in healthcare like never before, taking on new roles, as changing reimbursement approaches offer substantially different incentives to improve the “value” associated with healthcare. FTI Consulting’s Convergence Solutions Practice has brought together health plan, provider and life science expertise to design and implement value-based health solutions across the continuum of care and financing. FTI Convergence Solutions leverages cross-sector expertise to help our clients develop non-traditional businesses, adapt to healthcare reform, demonstrate value, and achieve their business objectives faster. We have assisted numerous payers, health systems and life science companies adapt and re-position to a rapidly changing healthcare environment, literally reinventing how care is delivered and financed, creating unprecedented opportunities.

Our service offerings include:

  • Strategic business positioning and business plan development
  • Value-based readiness assessments
  • Clinical Integration design and build
  • Accountable Care design and build
  • Comprehensive managed care assessments
  • Contract terms review and rate benchmarking
  • Managed care process reviews
  • Clinical network optimization and physician affiliation strategies
  • Population health assessments and analytics
  • Cost and quality driver analytics
  • Managed care negotiations
  • Value-based infrastructure development
  • Capitation risk audits and settlements
  • Actuarial risk assessments and target setting
  • ACA regulatory compliance
  • Wellness and prevention assessments and programs
  • Employee and dependent health programs including design and implementation
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