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Payors and Benefit Administrators

Health care Payors and Benefit Administrators are HES Advisors’ largest Client segment.

Payors are at the forefront in the transformational shift in the healthcare industry. HES advisory teams are comprised of former founders, CEOs and senior management teams from the leading US health plans and managed care organizations. Our experience as senior managers and board members with the challenges faced by health plans, TPAs, employers and government entities enables HES Advisors to provide valuable assistance in completing strategic projects and developing new strategies that strengthen the organization. These include:

  • Growth strategies
  • Alliances or acquisitions
  • Internal projects to improve performance, Medical cost control
  • Decisions on new products, programs and services
  • Implementation of new technologies and services
  • Strengthening of specific organizational areas

Our Clients include:

  • National and Regional Health Plans
  • Medicaid Managed Care Organizations
  • Medicare Advantage, Part D and Special Needs plans
  • Care Management/Disease Management Organizations
  • Provider-Sponsored Plans - Accountable Care Organizations
  • National Provider Networks
  • Pharmacy Benefit Managers
  • Specialty Services Managers


Facilitation of Health System Board Retreat focusing on Medicare Advantage - HES Advisors was engaged to lead a three-day Executive Board Retreat for a New England based, multi-hospital ...

Development of Multi-System Alliance - HES Advisors was engaged by a group of five like-minded, high-quality, low-cost hospital systems that desired to form a geographically...

Population Management Initiative Design and Implementation - HES Advisors worked with its client, a major East coast based Academic Medical Center, to re-design its population management...

Strategic Roadmap for the Development of an Integrated System of Care - HES Advisors was engaged to assist a Midwest based, 500-bed community hospital in the development of a...