Healthcare Services & Managed Care Organizations

Healthcare organizations compete in a uniquely complex environment. Rapidly changing regulations, new technologies, consolidation, and an aging yet ever-more sophisticated population are defining a marketplace that increasingly rewards true innovators while punishing those who cannot keep pace. In addition, issues of patient privacy, quality outcomes over time, and other issues not easily quantified add to the complexities of executing analysis and making informed decisions.

At the center of this multi-trillion dollar economy, managed care organizations and health plans (private and government) today face unique challenges from multiple fronts as the hub of distribution of healthcare. The recent implementation of the Medicare Modernization Act of 2003 has changed fundamental business models regarding the treatment of Medicare members. Employers are looking for creative ways to lower spending on healthcare costs. Effective leadership in managed care is defined by innovative product and benefit design; effective and efficient triage and action-oriented analysis; customer intimacy; local presence; and operational excellence and relentless focus on administrative costs.

L.E.K. has helped many of the nation’s leading healthcare services and managed care innovators achieve and improve on many of these key dimensions by working in close collaboration with clients not only to solve the immediate problem, but to build capabilities that survive and thrive beyond the project. For example:

L.E.K. assists health plans in creating a strategic approach to product design.
By infusing a strategic perspective to the traditional product development process, L.E.K. assists clients... more

L.E.K. provides cost trend diagnostics and medical cost action planning to aid turn-arounds.
L.E.K. worked closely with a client to diagnose the root causes of out-of-control cost trends... more

We help clients of all sizes (20K members to 1M+ members) significantly improve operational performance.
L.E.K. worked with the executives of a large payer to tighten the organization’s processes... more

L.E.K. provides M&A support, including due diligence and post-acquisition transition plans.
We helped a client plan and manage a well executed transition... more

We help clients measure results and plan for the future.
We assisted a client in building modular scenario planning models... more 

We help healthcare providers optimize their current operating platform for growth.
L.E.K. helped a major national provider identify and adopt best practices, automate processes, and position the organization for sustainable growth... more

To uncover and create new opportunities and assess and mitigate potential risks, clients turn to L.E.K. for assistance in addressing the full spectrum of healthcare services, including:

• Broadline managed care organizations
• Medicare plans
• Medicaid plans
• Integrated provider (staff model) plans
• Service providers to managed care organizations
• Assisted living facilities
• Biopharmaceuticals
• Clinical research / Education organizations
• Diagnostic products and services
• E-Health Homecare / Ancillary services
• Hospitals / In-patient facilities
• IPAs
• Medical products and equipment
• Multi-specialty physician groups
• Nursing homes
• Payors
• Rehabilitation
• Single-specialty physician groups