Healthcare and Life Sciences

Providers and Health Systems

Robust data analytics and deep health policy expertise to fuel smarter decision-making

Bolster your practice’s or health system’s negotiating power with payers.

Powerful tools and expert guidance for providers, health systems, and ACOs

In today’s healthcare landscape, health systems, providers, and accountable care organizations (ACOs) increasingly struggle to achieve revenue and growth KPIs while still providing high-quality patient care. Organizational, financial, and regulatory challenges often stand in the way.

  • Health systems lack the resources or expertise to mine deeper insights from price transparency data.
  • Physician practices don’t know they can use price transparency data—and don’t have the internal resources to analyze it.
  • ACOs struggle to predict their savings from Medicare Shared Savings Program.

Mathematica—with more than 50 years of leadership at the intersection of healthcare policy and data analytics—can help.

Solutions We Offer

Policy and Compliance
Value-based Care Solutions and Risk-Sharing
Population Health, SDOH, and Health Equity Insights
Why Mathematica?

Unparallelled Access to Medicare Claims Data

  • 100% of Medicare enrollment and claims data (Parts A, B, C, and D).
  • Provider-specific Medicare rates.

A Tradition of Scientific Rigor and Innovation

  • Advanced analytic and algorithmic methods derive precise and trustworthy insights from data.
  • Custom-built analytic tools deliver information in an intuitive, easy-to-use interface.

Custom Advisory Services from Policy Experts

  • Unique insights rooted in Mathematica’s 50+ year working relationship with Medicare—including a partnership to help architect its ACO paradigm.
Custom solutions for health systems, providers, and ACOs

Health Systems
Get more out of price transparency data:

  • comprehensive data and sophisticated analytical capabilities to derive actionable insights
  • custom tools and experts with deep industry and health policy experience

Physician Practices
Gain the competitive edge in your market:

  • use price transparency data to see competitor rates from payers
  • customized tools that to help you interpret and act on that data
  • one-on-one guidance for negotiations with payers

ACOs
Predict MSSP savings for your ACO:

  • unmatched policy expertise of Medicare’s ACO paradigm
  • access to the most comprehensive set of Medicare data available
  • sophisticated analytics
Speak with a Mathematica Expert

Gain critical insights about your ACO’s target population to better predict MSSP savings. Speak with a Mathematica Expert.

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Client Perspectives

Mathematica’s expertise and access to complex data sets has given us a tool for our health system that supports our business operations and cost controls in a targeted way, enabling us to maintain our high quality of care.

- Al Swallow, CFO of MaineHealth

Related Staff

Evelyn Li

Evelyn Li

Director, Advisory Services

View Bio Page

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