Skip to content Skip to footer
Search

Loading Results

Health and welfare benefits consulting

Custom solutions for payers, providers and employers

Remain competitive with innovative strategies

Our Health and Welfare consulting practice brings unique perspectives and insights through a combination of actuarial, regulatory and operational expertise.

Working across the healthcare market with employers, payors and healthcare providers, we collaborate with you to create unique solutions the can address your business needs and provide value to your organization and your members.

Emerging technologies and solutions are changing the healthcare landscape

As healthcare costs continue to rise, companies are looking to save money, empower stakeholders and improve engagement and convenience. New dynamics have opened the door for innovative strategies, while emerging technologies and solutions are making it easier to navigate the healthcare ecosystem. 

Our health and welfare consultants can help you understand emerging trends and new entrants. We collaborate with you to find solutions that work and we can help you connect your business objectives to your company’s culture, values and purpose.

How we can help

Employers

Employers connect health and welfare benefits with company culture, values and purpose, as well as other reward programs to help attract and retain talent. Our services include:

  • Medical cost management
  • Benefit design and strategy development
  • Vendor selection and performance management
  • Total rewards analytics
  • Well-being strategy
  • Deals and benefit harmonization
  • Claim assessments
  • Compliance

Payers

Payers should manage financial risk and opportunities to offer competitive and sustainable products. Our services include:

  • Product development/pricing
  • Market entry strategy
  • Financial reporting/Reserving valuation
  • Risk adjustment
  • Capital management
  • Due diligence
  • Value based contracting
  • Claim assessments
  • Cost driver analysis
  • Operational excellence
  • Population health analysis
  • Compliance

Pharmacy

Pharmacy trend impacts employers, providers, PBMs and payers, with each stakeholder trying to mitigate trends and drive more value. Our services include:

  • PBM selection and vendor management
  • Market checks, renewal negotiations and detailed procurement activities
  • Operational reviews and improvement
  • Claim assessments and cost-driver analysis
  • Pricing and contract review
  • Carve-in vs. Carve-out evaluation
  • Specialty drug diagnostic and overall management (medical and Rx benefit)
  • Pharmacy program stewardship
  • Fraud, Waste and Abuse (FWA) evaluation
  • Medicare Part D, PDE and IRE/IRO assessment

Leading the pack

PwC named a leader in Health and Wellness Benefits Consulting 2019

PwC was announced as a Leader in ‘Health and Wellness Benefits Consulting 2019’ by ALM Intelligence, a company that assesses consulting firms in defined markets on the basis of their breadth and depth of service capabilities and ability to deploy those across highly-complex client requirements.

{{filterContent.facetedTitle}}

Contact us

Christine Randazzo

Christine Randazzo

Partner, Transformation, PwC US

In Sung Yuh

In Sung Yuh

Principal, Transformation, PwC US

Jinn Feng Lin

Jinn Feng Lin

Principal, Transformation, PwC US

Eric Michael

Eric Michael

Partner, Transformation, PwC US

Derek Skoog

Derek Skoog

Principal, Transformation, PwC US

Follow us

Required fields are marked with an asterisk(*)

By submitting your email address, you acknowledge that you have read the Privacy Statement and that you consent to our processing data in accordance with the Privacy Statement (including international transfers). If you change your mind at any time about wishing to receive the information from us, you can send us an email message using the Contact Us page.

Hide