What Bailit Health does

Bailit Health Purchasing, LLC is a privately held U.S. healthcare policy consulting firm founded in 1997 by former senior executives of the Massachusetts Executive Office of Health and Human Services, headquartered in Needham, Massachusetts. The firm advises state government health agencies (Medicaid programs, health departments, insurance commissioners, cost-growth boards), employer purchasing coalitions, healthcare foundations, and selected federal agencies including MACPAC and CMS. Its work spans strategic program design, value-based payment design, Medicaid managed care procurement and oversight, health care cost growth target implementation, health equity measurement, performance measurement, and multi-stakeholder facilitation. Bailit reports having assisted over 150 clients across more than 30 states since founding, and maintains an active thought leadership presence through publications in Health Affairs, Milbank, Commonwealth Fund, and State Health and Value Strategies.

The firm has no software product or platform; its "technology" footprint consists of three free Excel-based data tools — the Buying Value Measure Selection Tool, the Buying Value Benchmark Repository, and the APM Data Collection Tool — which support its advisory work in value-based contracting, quality measure alignment, and Alternative Payment Model tracking. Revenue is generated entirely through project-based professional services engagements acquired via competitive procurement, RFP processes, and direct contracting with public agencies and institutional purchasers. There are no disclosed pricing rates, subscription products, or recurring revenue arrangements. Marketing is driven primarily by thought leadership content, conference speaking, and webinars rather than paid channels.

Bailit operates with a lean senior team of approximately 13 consultants — including a President/Founder, one Senior Managing Director, six Managing Directors, Senior Consultants, and Consultants — supplemented by specialty subject matter experts on an as-needed basis. The firm has no disclosed external investors, no parent company, no subsidiaries, and no merger, acquisition, or funding activity on record. Its growth is entirely organic, tied to state and federal procurement cycles in healthcare reform.

Name

Bailit Health

Legal name

Bailit Health Purchasing, LLC

Website

https://bailit-health.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

11–50 employees

Short description

Bailit Health is a privately held U.S. healthcare policy consulting firm that advises state Medicaid agencies, employer purchasing coalitions, foundations, and federal bodies on value-based payment, managed care oversight, cost growth targets, and health equity across more than 30 states.

Ownership category

akta.pro rank

Product category

Healthcare Policy Consulting

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Other Insurance Funds (52519)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Public Health Financing, Budgeting & Grants Management (HLAJAMAC)

akta.pro secondary industries

Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ), Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

Keywords

• Healthcare policy consulting
• Medicaid managed care advisory
• Value-based payment design
• Healthcare cost growth targets
• Health equity consulting

Headquarters

HQ city

Needham

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Healthcare Consulting Services: Professional consulting services provided to government agencies (state Medicaid programs, healthcare regulatory bodies) and employer purchasing coalitions. Revenue generated through project-based consulting engagements, technical assistance contracts, and facilitation services. Work includes strategic program design, policy analysis, procurement support, and performance management.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Bailit Health is a healthcare policy consulting firm that advises state government agencies (notably state Medicaid programs and insurance commissioners), employer purchasing coalitions, healthcare foundations, and federal bodies on improving healthcare system performance. Its work spans healthcare cost growth target programs, Medicaid managed care procurement and oversight, value-based and alternative payment model design, health equity measurement, behavioral health initiatives, and performance management. Engagements are delivered as project-based professional services, with supplemental Excel-based analytical tools provided to states and purchasers as free resources.

Product overview

Bailit Health is a health care policy consulting firm, not a software product company. The firm offers advisory and technical assistance services across health care cost growth targets, Medicaid managed care oversight, value-based payment design, health equity, and performance measurement. It has developed several Excel-based data tools including the Buying Value Measure Selection Tool, Buying Value Benchmark Repository, and APM Data Collection Tool. These tools are free resources provided to states and purchasers rather than commercial software products.

Differentiator

Problem solved

Functional benefit

Products and services

• Buying Value Measure Selection Tool Excel-based database that helps states, employers, consumer organizations, and providers align quality measure sets for value-based contracting, quality improvement projects, and equity initiatives.
• Buying Value Benchmark Repository

Named customers13 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Mathematica Policy Research: Mathematica is a nonpartisan policy research firm conducting Medicaid and CHIP program evaluation, payment and delivery system reform analysis, and federal/state policy research — directly comparable to Bailit's CMS, MACPAC, and state Medicaid evaluation engagements.
• NORC at the University of Chicago: NORC is an independent research institution that conducts large-scale evaluations for federal and state health agencies, including CMS demonstrations and Medicaid policy studies — comparable to Bailit on federal/state evaluation and technical assistance engagements.
• Lewin Group: Lewin Group (part of Optum) provides healthcare policy and consulting services to federal and state agencies, health plans, and providers on Medicaid, Medicare, and commercial market reform — closely overlapping Bailit's payer and purchaser advisory work.
• Center for Health Care Strategies (CHCS): CHCS is a nonprofit policy center that works directly with state Medicaid agencies and health plans on managed care, value-based payment, and health equity program design — a nonprofit peer with mission and client overlap comparable to Bailit's.
• Wakely Consulting Group: Wakely is a healthcare actuarial and consulting firm serving state Medicaid agencies, health plans, and employers on rate setting, payment reform, and financial modeling — overlapping Bailit on the actuarial and payment-design dimensions of state Medicaid work.
• Public Consulting Group: Public Consulting Group is a management consulting firm serving state and local health and human services agencies on Medicaid, behavioral health, and human services program design and operations — overlapping Bailit's state agency consulting footprint.
• Sellers Dorsey: Sellers Dorsey is a healthcare consulting firm focused on Medicaid program design, managed care contracting, and value-based payment, serving state agencies and Medicaid health plans — directly comparable to Bailit's Medicaid procurement and oversight practice.
• Health Management Associates (HMA): HMA is a national healthcare research and consulting firm serving state Medicaid programs, health plans, and providers on Medicaid policy, managed care, behavioral health, and long-term services — a direct competitor for state-level Medicaid technical assistance work.
• Manatt Health: Manatt Health is the healthcare policy and consulting practice of Manatt, Phelps & Phillips, providing advisory services to state Medicaid agencies, providers, and purchasers on managed care, value-based payment, and health system transformation — directly overlapping Bailit's core state Medicaid consulting work.

Broad incumbents

• Mercer: Mercer is a global consulting firm with a large health practice advising employers, states, and health plans on benefit design, managed care procurement, and value-based purchasing — competes with Bailit for employer purchasing coalition and state Medicaid engagements at much greater scale.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat3 records

Key risks4 records

Key highlights5 records

Customer concentration

• Xtwitter.com/bailithealth
• LinkedInlinkedin.com/company/bailithealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Bailit Health