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 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 working with physicians, provider organizations, health systems, payers, ancillary providers, government sponsors and technology enablement solutions, in the following areas:

Healthcare

Clinical Integration/Value Based Care

Clinical Performance

Data Analysis and Predictive Analytics

Population Health

Clinical Coding and Risk Adjustment

HEDIS and Stars

Quality Incentive Program Development

Clinical Quality

Risk Operations

Case Management

Complex Care Management

Triple and Quadruple Aim

Strategy, Development & Transactions

Strategic Partnerships and Affiliations

Mergers, Acquisitions

Joint Ventures

Start-Ups

Governance Structure

Clinical Advisory Structure

Marketing and Advertising

Business Development

Provider Network Development

Social Determinants of Healthcare (SDOH)

Physician Engagement and Satisfaction

Regulatory & Compliance

Organizational Formation

Knox-Keene Licenses

Compliance Programs

Health and Safety

HIPAA

CMS

Medicare

Medicaid

OIG

Antitrust

Fraud, Waste & Abuse

Operations

Management Services Organizations (MSO)

Risk Bearing Entities (RBE)

Revenue Cycle Management (RCM)

Practice Management Solutions

Delegation Readiness

Risk Readiness

Provider and Facility Credentialing Solutions

Member Services

Dispute Resolution

Network Management

Provider Data Management

Financial Performance

Payer Revenue Strategies

Physician and Provider Payment Models

Capitation, Special Pools, Incentives

Payer and Provider Contracting

Physician Performance Models

Healthcare Economics

Delegation

Delegation Readiness

Credentialing

Utilization Management

Referral Management

Claims Processing

Eligibility

Technology

System Integration

Data Strategy, Governance & Reporting

Solutions Architecture

Health Information Exchange (HIE)

Cybersecurity

Data Warehouse/Data Lake Strategies

Data Information Exchange

Organizational Management

Interim Leadership Positions

Organizational Design

Growth and Scaling

Change Management

Performance Improvement

Culture and Engagement Initiatives

Provider and Community Engagement