Health Plans & RBOs

Health plans and risk-bearing organizations (RBOs) face increasing pressure to effectively manage and administer complex, multifaceted risk pool agreements and respond to stakeholder requests for risk pool funding.

As the health care industry moves away from rewarding providers for volume and shifts to rewarding for value, organizations need to embrace this paradigm change and thoughtfully prepare for it. In the complicated managed care environment, the risk-based health care model continues to rise in popularity. The model has significantly evolved since its development more than 25 years ago, and many organizations engaged in risk contracting lack the industry-based expertise to support developments and effectively manage their membership.

Our professionals have roots in Southern California, the epicenter for managed care and RBOs since they first rose to prominence. Immersed in risk-based health care for decades, our professionals understand how to make smart business decisions and find innovative solutions that drive growth and strengthen your bottom line.

How We Help

We can assist your organization with:

Who We Serve

We work organizations of all sizes including:

  • Accountable care organizations (ACOs)
  • Coordinated care organizations (CCOs)
  • Dental plans
  • Exclusive provider organizations
  • Insurance exchanges
  • Independent practice associations (IPAs) and medical groups
  • Knox-Keene plans
  • Managed care and service organizations
  • Medicaid health plans and Medicare advantage plans



National Practice Leader