We are experts in healthcare across the delivery system continuum

Prior to founding Platinum Group Advisors, our leaders and partners served in executive roles in both public and private healthcare organizations. At the forefront of change, we were involved in establishing one of the first clinically integrated networks in the country, formed one of the original CMS Pioneer ACOs, and have procured Knox-Keene licenses to allow medical groups to strategically operate as limited licensed health plans.  This team has led the transition from fee-for-service to value-based care on a national scale.

Our deep breadth and experience in healthcare includes work in the following:

Payers & Government Sponsors

Physicians & other health practitioners, ancillary providers

Hospitals & Health Systems

Value Based Care

Clinical Integration

Knox-Keene Licenses and other Health Care Organizational Formation

Risk Operations (Management Services Organizations, Risk Bearing Entities)

Physician & Provider Payment Models- Capitation, Special Pools, Incentives

Payer Revenue Strategies

Practice Management Solutions

Regulatory & Compliance, including HIPAA, Medicare, Medicaid, OIG, antitrust guidelines & others

Payer & Provider Contracting

Provider Credentialing Solutions

Clinical Quality & Population Health

Risk Adjustment, HEDIS & STAR Ratings

Physician Performance Models