Growth and new business development

We provide a broad range of services to help clients enter and expand into new markets.

Market Evaluation and Opportunity Identification

Government Markets Business Development and RFP Response

Business Plan Development

Partner Identification and Assessment

Ancillary Diversification Strategies and Execution

Strategic Growth Prioritization

Public and Private Exchange Strategy Development

Product Development and Extension

Consumer Market Strategy Development

      • Provided advisory services to assist a health plan successfully enter the Medicare Advantage market.  Performed a variety of services including, business case evaluation, full outsource vendor evaluation/selection, brand strategy development, product design, go-to-market planning, and detailed implementation planning.

      • Developed a Dual Eligible market entry strategy for a health plan, which included a thorough evaluation of internal capabilities as well as a strategic partner assessment to provide care management services.  

      • Supported health plan in its evaluation of the market opportunity for a new capability (NewCo) to support key industry stakeholders throughout the process of transforming care delivery in a repeatable and scalable way. 

      • Assisted multiple Medicare administrative contractors (MAC) in preparing for new MAC contract opportunities, which included leading the contract capture effort, pricing strategies, proposal preparation, and implementation planning.

      • Assisted a specialty company to penetrate the healthcare payer segment through developing sales strategies and targeted partnership development activities.

 

Client Need

Client requested HealthScape's assistance in developing its strategy for entering the Medicare Advantage market.

HealthScape Approach

  • Performed an opportunity and channel analysis to validate market opportunity and optimize all aspects of market entry effort
  • Developed client's brand, positioning and product strategy
  • Advised client on the detailed benefit design
  • Developed and validated market entry budgets and acquisition costs
  • Assessed detailed service area breakdown and identified penetration estimates for revenue forecasts
  • Performed network and provider analyses for Medicare recruitment
  • Developed a distribution strategy which included a Direct-to-Consumer marketing plan (with acquisition and retention targets), Identification and Engagement plan for distribution partners, and a Market Conduct Compliance Plan.
  • Evaluated vendors for call center augmentation

Outcomes

  • Client successfully entered the Medicare Advantage market and exceeded AEP projections
Service descriptions
Representative experience
Case study