Advising organizations across the healthcare spectrum
Breakwater works with healthcare organizations operating at the intersection of cost, quality, growth, access, risk, and transformation.
Health Plans
Medicaid, Medicare Advantage, D-SNP, ACA Marketplace, and community-based health plans navigating performance improvement, market growth, quality demands, and regulatory complexity.
Focus areas
Medical cost trend and MLR management
Quality and Stars improvement
Care and utilization management program redesign
Product and market strategy
Provider network performance
Operating model redesign under financial or regulatory pressure
Provider Organizations
Health systems, physician groups, CINs, ACOs, MSOs, IPAs, and risk-bearing provider organizations seeking to perform in value-based care environments.
Focus areas
Population health strategy and care model design
Risk-based care and value-based contracting
Payer contract strategy and negotiation support
Clinical operating model and performance infrastructure
Network alignment and provider engagement
Healthcare Investors
Private equity firms, portfolio companies, and healthcare growth companies evaluating strategy, performance, market opportunity, and scalability.
Focus areas
Commercial and operational diligence support
Market strategy and competitive positioning
Operating model assessment
Value creation planning
Healthcare AI and digital health strategy evaluation
Public & Community Healthcare Organizations
Organizations focused on access, equity, Medicaid populations, and community-based care delivery.
Focus areas
Medicaid managed care strategy
Community health transformation
Care model design for complex and underserved populations
Quality improvement and HEDIS performance
Access and network strategy
Wondering if Breakwater is right for your organization?