Health Plans

Health plan leaders need to build agile, responsive, competitive operations that drive success. That’s where we come in.

These are turbulent times for health plans. Regulatory uncertainty, shifting to new payment models, and the rapid advancement of digital health technologies have all pushed health plans to transform.

At West Monroe, our healthcare consulting expertise extends across all aspects of the health plan value chain. We work side-by-side with our clients to transform their operations, partnering to improve everything from customer interactions to internal processes to systems architecture. And delivering real results.

What We Do in Health Plans

Re-envision member interactions, create industry-leading customer experiences, streamline care coordination for better health outcomes, or transform traditional and digital operations: our health plan consultants can help.

Engage members, providers, and partners to drive value

We help health plans deliver seamless experiences through technology—while reducing costs. Attract and retain customers via channel and relationship strategy, digital optimization, and experience design. And optimize front office marketing and sales.

Manage your key metrics and optimize margins 

Escalating administrative costs, increasing costs of care, and low member engagement are creating challenges. We partner with you to enable consumer behavior change, prepare for value-based reimbursements, and implement next-generation cost containment strategies to address an evolving healthcare landscape.

Optimize and transform your entire enterprise

We partner with leaders and teams across departments to unlock the potential of technology and improve processes and delivery capabilities. From automating to create efficiency and great customer experiences, to reducing organizational cost by moving to the cloud, or eliminating technology debt by modernizing your claims platform, we can help you drive change and develop a successful healthcare digital transformation

Turning your healthcare data into decisions

Insights from your member health data can drive smarter business decisions—cost savings, member and provider satisfaction, and opportunities for expanded capabilities. We help you implement better data governance and shift toward future-thinking, predictive insights

Want to learn more?