Our healthcare industry transformation creates opportunity for those organizations that can make sense of the changing landscape and can creatively leverage their resources to profitably grow and thrive, optimizing their operational performance and value.

But the healthcare ecosystem is complex with multiple players and stakeholders who constantly interrelate, integrate, and interoperate. Organizations of all types looking to grow and achieve their financial, quality, service level and compliance performance objectives must understand and account for the capabilities, drivers, strategies, and challenges, of other ecosystem entities.

These will be your partners, customers, suppliers, and competitors. What questions are they asking that present opportunities for you?

Arlington Healthcare Group works with clients across the healthcare industry. We help you address these opportunities, overcome challenges and achieve and exceed your growth, compliance and operational performance objectives while minimizing risk to your organization. We serve companies in the following health industry segments:

The Healthcare Ecosystem

Healthcare Consumers & Patients – healthcare consumers are increasingly savvy. They demand more specific content, more proof of efficacy, and more value for every dollar they invest in healthcare. US healthcare consumers value two things: choice and convenience. Are you as healthcare providers, insurers and industry suppliers positioned to meet these needs? Can you effectively reach and secure and retain your consumers, deliver to them with the quality expected at the price needed, and simultaneously comply?

Government and private payers – including employers – as well as providers, regulators and the services, product and technology vendors who supply these entities continue to find their traditional business, service/product delivery and organizational models inadequate to the challenge. Financial sustainability and viability, let alone growth, are significantly difficult. Improving quality and service levels is an increasing imperative. Compliance with ever evolving regulations is a core requirement.

Additionally, employers continue to focus on balancing the cost of investment in employee healthcare with return on this investment through workforce productivity and compliance solutions and other strategies that assure winning quality human capital. Do investments in health and wellness programs, population and occupational health and integrated care management for employees pay off? What needs to be done in absence management?

Payers continue to ponder and experiment with their role in the evolving healthcare ecosystem. Is your future as a Payer in insurance products, claims administration, integrated healthcare management, or some combination? How are you participating in the new healthcare exchanges, both public exchanges and private exchanges? How effective is each distribution channel? Should you diversify the types of insurance you offer? Should you integrate with providers tightly or loosely? Should you sponsor and manage Accountable Care Organizations? How do you optimize your growth and operational performance? How do you assure compliance, privacy and security, and overall corporate integrity?

Providers & Integrated Delivery Networks struggle with strong compliance and pricing pressure along with the shift to value based reimbursement. How do you as a Provider reconcile reducing utilization with the quality of patient care and remaining financially viable? Should you continue to sponsor and/or participate in integrated and coordinated care models like patient centered medical homes and Accountable Care Organizations? With what organizational models, clinical and business processes, and information technology infrastructure should these coordinated care entities be operated? And what other diversification options including adjacent products and services, new patient acquisition and retention strategies will work? How do you optimize your growth and operational performance? How do you assure compliance, privacy and security, and overall corporate integrity?

Health Industry vendors and suppliers are challenged to develop, market, and deliver services and products into this dynamic market. As a supplier, you must meet customer needs while generating profitability and value to support growth and sustained product and service development. What market segments have the most opportunity? What is your optimal marketing strategy? Will you go direct and/or through distribution channels? Who is your competition today and tomorrow? How should you as a supplier organize and operate to compete effectively? How should you address your market and product gaps – build, acquire, or partner?

Health Industry regulators, professional associations and academia are challenged to support and assure the efficient and effective introduction and application of new ideas, concepts, tools and technologies in healthcare. For regulators and supporting organizations, what key regulations render healthcare organizations most vulnerable? For regulators and professional associations, what policy challenges must be addressed, and when and how? For academia, what new ideas, trends need to be addressed, and when and how?