Value-Based Care Consulting 2019
Finding the Best Fit in a High-Performing Market

WHO DOES WHAT (AND FOR WHO)?

While all firms in this report perform well (scoring above an 85 out of 100) and are recommended by their clients, they excel within different scopes of engagement as measured by the complexity of their validated projects and clients.

Transformational Partners: Deloitte, Lumeris, Navigant, PwC
Validated as leading some of the most complex VBC transformation projects (as defined by scope and potential impact) and as working with highly complex clients (as defined by organization size, contract risk profile, and percent of revenue derived from value-based reimbursement). Projects expected to have broad organizational impact.

Problem Solvers: Optum, Premier
VBC projects tend to be ad hoc in nature or focused on solving specific challenges of moderate complexity. Clients often expect project scope to go beyond the delivery of strategies or recommendations to include the implementation of specific VBC initiatives, often resulting in measurable outcomes.

Credible Sources of Information: Chartis Group, Health Catalyst, Milliman
Most validated VBC projects are of lower complexity with clients who have not yet taken on risk or are in the earlier stages of doing so. Project deliverables may vary but are typically focused on providing information and insights.

Navigant the Top Performer for Complex Projects, Advanced Clients

In terms of performance and complexity, Navigant stands out in a field of high performers. Navigant’s understanding of the market is described as both wide and deep, and the firm excels at business transformation and knowledge transfer. PwC, a firm with a similar complexity profile, stands out for having the most validated work in the payer market, whose complexity may in part explain the difference in satisfaction between PwC and Navigant clients. Although the validated complexity of their projects varies, Premier, Milliman, and Deloitte stand out as fully rated firms with overall performance scores above 90.

WHICH FIRMS ARE MOST CONSISTENT IN THEIR DELIVERY?

See the full report for more details about what drives each firm’s consistency or lack thereof. 

WHAT OUTCOMES HAVE BEEN ACHIEVED?

Outcomes Driven by Actuarial Expertise from Milliman, by Reliable Data and Guidance from Premier, Optum 

Provider organizations commonly describe VBC consulting firms as expensive, but most also say they get good value for their dollars. While most firms have proven they can help clients better manage risk, transformational partner firms (most notably PwC and Navigant) tend to deliver the broadest set of outcomes. Milliman clients say they pay a premium but describe the firm as highly accurate and helpful. Some blame themselves for budget issues, saying they turn to Milliman too often. Both Premier and Optum stand out for delivering tangible outcomes. In their role as problem-solvers, both are praised for providing strong, reliable data and helping clients uncover actionable opportunities for improvement. Lumeris has demonstrated the ability to help advisory clients achieve a broad set of outcomes. However, as noted above, the Lumeris clients who did not opt to move forward with the firm’s managed services offering report lower value and fewer tangible outcomes, pulling down Lumeris’ average in these metrics.

WHAT FACTORS DRIVE OUTCOMES?