Payer

AArete works with health plans to improve their profitability by leveraging our experience and market intelligence to implement solutions that are customized for our clients’ unique needs. We’ve supported thousands of initiatives across a variety of health plan functions, generally classifying them by the impact they have on one of the following:

·      Unit Costs
·      Utilization
·      Payment Integrity
·      Revenue
·      Member Satisfaction
·      Quality and Compliance
·      Operational Improvement

Our value proposition for our clients includes:
Our Footprint of Experience
We’re fortunate to have worked with over 90 health plans across the country, including 8 of the top 10 by membership size. This experience includes working with large, national payers, local and regional plans, provider-sponsored plans, as well as select blues organizations. Encompassed in our footprint is significant experience supporting efforts across 40+ states in all lines of business (e.g. government sponsored Medicaid and Medicare, as well as Commercial products).

Implementation
AArete goes beyond the identification of opportunities to implement results. Many of our clients value the leverage AArete provides to complement their internal resources with the extra horsepower to realize financial improvement.

Analytics Capabilities
AArete leverages our centralized Center of Data Excellence (CODE), a team of data scientists and managers of our intellectual property, to put actionable analytics into the hands of our client stakeholders. This approach enables a more focused and nimble resource that can complement traditional internal medical economics teams (while enriching analysis with market intelligence).

Guaranteed Results
Every engagement is rooted in the fact that we will guarantee a minimum ROI on our clients’ investment with AArete.

Capabilities

Our Payer Experts

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Maulik Bhagat
Managing Director
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Kevin Byrnes
Managing Director
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Jackie Ferguson
Managing Director
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Duane Harrington
Senior Managing Director
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Madhav Nadendla
Managing Director
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Katie O’Connell
Senior Managing Director
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Mark O’Hara
Managing Director
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Paul Schuhmacher
Managing Director
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Maria Turner
Managing Director
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