Consulting Services
We provide strategic and operational consulting services to health plans of all sizes on the whole spectrum of the Affordable Care Act marketplace issues. Our standard hourly rates are below, or we can work with you to develop a fixed price proposal for your problem.
Evensun Consulting offers a comprehensive suite of strategic and operational consulting services, tailor-made to meet the diverse needs of health plans spanning all sizes and dimensions within the industry.
Our expertise is deeply rooted in our understanding of the Affordable Care Act marketplace, enabling us to address the complete spectrum of issues that organizations may face as they navigate the complexities of today’s dynamic healthcare landscape.
Our team of dedicated professionals stands ready to partner with your organization to identify, analyze, and resolve the challenges you encounter, leveraging our extensive experience and commitment to excellence in the pursuit of your success.
CUSTOM TAILORED TO MEET YOUR SPECIFIC REQUIREMENTS
The following are some examples of the types of engagements we provide.
Member Level Performance Analysis
We can help you create models to analyze the post-Risk Adjustment profitability of your membership, We’ve seen too many plans make it a goal to to turn their risk adjustment payable into a receivable; this myopic focus can miss the actual goal of ensuring your health plan is profitable – let us help you find the drivers or profitability and design an approach that will help you achieve your financial and enrollment targets
Data Integrity Analysis
Before you spend millions on complex suspecting algorithms, make sure you are getting credit for the conditions already supported by the data you have from claims and encounters. We help you find gaps in your processes that may be costing you millions.
ACA Vendor Management
Now that the ACA has been in place more than a decade, vendor function creep has set in many organizations. Let us review your vendor strategies, contracts, and scope to ensure you have the right partners, pricing strategies, and oversight in place to support a successful product.
ACA Market Strategy
The ACA market is in a constant state of change, and a strategy that worked one year may not work in the next. We can review your past, present, and future and provide recommendations on strategies to help your product succeed in an increasingly competitive market.
Pricing
In order to accommodate the diverse requirements of our clientele, we offer a flexible pricing structure that includes the option of hourly rates for our services.
Standard hourly rates for our team members
Principal Consultant: $475 per hour
Senior Analyst: $300 per hour
Analyst: $225 per hour
We recognize that each client’s situation is unique, and as such, we are more than happy to work closely with you to develop a customized fixed-price proposal that accurately reflects the scope and complexity of the problem you are facing. This approach ensures that you receive the most value from our partnership, while also providing a transparent and predictable cost structure.
At Evensun Consulting, we are devoted to the success and satisfaction of our clients, and we look forward to the opportunity to collaborate with you and your organization in addressing your Affordable Care Act marketplace challenges.
Our full catalog of product offerings is available here.