KNG Health Consulting

What KNG Health Consulting does

KNG Health Consulting, LLC is a privately-held health economics and policy consulting firm founded in 2007 by healthcare economist Lane Koenig, PhD, and headquartered in North Bethesda, Maryland. The firm serves federal and state government agencies (CMS, state legislative finance committees), national healthcare provider associations (American Hospital Association, Ambulatory Surgery Center Association), pharmaceutical and medical device manufacturers, and policy foundations (The Commonwealth Fund, Arnold Ventures, Robert Wood Johnson Foundation). Its engagements span comparative effectiveness research, Medicare and Medicaid policy evaluation, payment and delivery system innovation, quality measurement, demand forecasting, and New Technology Add-on Payment applications, typically delivered as multi-year project-based professional service contracts and grant-funded studies.

The firm's underlying analytical technology centers on rigorous statistical work using SAS, Stata, and Medicare administrative claims data (MedPAR, inpatient, outpatient, carrier files, MA encounter data), supported by two proprietary assets: the KNG Health Reform Model, a microsimulation tool built on American Community Survey and other data that scores the impact of health reform proposals on insurance coverage, healthcare spending, and state budgets (e.g., fiscal analysis for New Mexico's Health Security Plan); and the KNG Health Risk Adjustment Model for post-acute care outcomes. A third co-developed asset, the Insight Data Tool, is a secure online data collection platform built with Vindicet to capture five-module outcomes data from ambulatory surgery centers for quality studies.

The business model is direct-to-client professional services consulting augmented by grant-funded research from foundations and government agencies. Revenue is generated through project-based fees and multi-year contracts; pricing is quote-based and not publicly disclosed. Go-to-market relies on consultative sales to a horizontal segment mix, supported by a thought-leadership content engine (peer-reviewed publications in Health Affairs, Health Services Research, Medical Care, JAMA, Value in Health, and American Journal of Managed Care), a blog, email newsletter, conference presentations, and inbound from specialized foundations and provider associations. Lane Koenig maintains overall responsibility for research direction, and the firm operates with a small (1-10) headcount that includes PhD economists and senior research associates drawn from CMS, The Lewin Group, and NCQA.

Name

KNG Health Consulting

Legal name

KNG Health Consulting, LLC

Website

https://knghealth.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

11–50 employees

Short description

KNG Health Consulting is a North Bethesda-based health economics and policy consulting firm serving federal and state agencies, healthcare associations, pharmaceutical companies, and foundations with Medicare and Medicaid policy analysis, microsimulation modeling, and quality measurement research.

Ownership category

akta.pro rank

Headquarters

HQ city

Rockville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Health Economics Consulting Engagements: Project-based consulting fees for health economics, policy analysis, and research services to government agencies, healthcare providers, pharmaceutical companies, and foundations. Engagements include policy analysis, program evaluation, and regulatory impact assessments.
2. Grant-Funded Research: Research funded by foundations and government agencies including The Commonwealth Fund, Arnold Ventures, and Robert Wood Johnson Foundation for specific health policy and healthcare delivery studies.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

KNG Health Consulting delivers health economics and policy consulting services, including quantitative analyses, microsimulation modeling of healthcare reform scenarios (Medicare/Medicaid), risk adjustment model development, and comparative effectiveness research. Services are sold to federal and state government agencies, pharmaceutical and medical device manufacturers, provider associations, and foundations. Deliverables include policy studies, regulatory analyses, white papers, and grant-funded research with peer-reviewed publication outputs.

Product overview

KNG Health Consulting is a health economics and policy consulting company offering advisory services across all sectors of the healthcare industry. The company provides specialized analytical services through its proprietary KNG Health Reform Model (a microsimulation model for health reform impact analysis), the Insight Data Tool (a secure data collection platform for ambulatory surgery centers), and expert consulting services covering comparative effectiveness, Medicare/Medicaid policy, healthcare cost and utilization, demand forecasts, healthcare reform modeling, new technology add-on payments, payment and delivery system innovation, and quality measurement.

Differentiator

Problem solved

Functional benefit

Products and services

• Health Economics and Policy Consulting Services Project-based health economics and policy consulting engagements for federal and state government agencies, pharmaceutical and medical device manufacturers, foundations, and provider associations. Engagements include quantitative analyses, policy studies, evidence reviews, and grant-funded research with peer-reviewed publication outputs.
• KNG Health Reform Model A proprietary microsimulation modeling tool that simulates healthcare reform scenarios (e.g., Medicare/Medicaid reform impacts) for federal/state agencies and other clients. The model is delivered as part of consulting engagements rather than as a separately licensed product.
• Insight Data Tool A proprietary data collection and analytics platform used by KNG Health to support healthcare research and consulting engagements. The tool is delivered as part of consulting services rather than as a standalone commercial product.
• Risk Adjustment Model Development Consulting engagement type in which KNG Health develops and applies risk adjustment models for healthcare clients (e.g., payers, providers, government agencies) to support payment, quality measurement, and policy analyses.

Quantifiable outcome

• Led over 100 quantitative and qualitative health policy and health economic studies with over 20 peer-reviewed publications

Named customers8 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

Feature3 records

Partnerships

Four partnerships are on record, tiered core and notable.

• VindicetcoreTechnology or IntegrationKNG Health partnered with Vindicet to develop the Insight Data Tool, a secure online data collection platform that allows ASCs to safely report patient, quality, and outcomes data for analysis. This tool was specifically designed for the Ambulatory Surgery Center Association's joint replacement safety study.
• Doherty Healthcare ConsultingcoreStrategic or Co-development PartnerKNG Health and Doherty Healthcare Consulting collaborated on the Vermont Blueprint for Health primary care payment reform initiative, conducting structured interviews with payers and providers and developing a detailed payment reform model for statewide implementation.
• Premier Research InstitutenotableStrategic or Co-development PartnerKNG Health collaborated with Premier Research Institute and received funding from the Robert Wood Johnson Foundation to examine effects of Medicare Shared Savings Program ACOs on quality and Medicare spending for high-cost populations.
• Excel HealthnotableStrategic or Co-development PartnerKNG Health partnered with Excel Health to conduct an assessment of the value that home health care brings to Medicare beneficiaries, examining hospital readmissions, mortality, ED visits, and Medicare spending between adherent and non-adherent patients.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• NORC at the University of Chicago: Independent research organization with substantial health care research practice serving federal agencies and foundations. Comparable in healthcare policy research deliverables but operates at much greater scale.
• RTI International: Large nonprofit research institute with health economics, policy, and Medicare research practices. Competes for similar federal contracts and foundation-funded research, though KNG is far smaller and more specialized.
• Mathematica Policy Research: Large nonpartisan research organization with deep health policy practice serving CMS and other federal agencies. Competes for similar federal evaluation and policy research contracts but at materially greater scale.
• RAND Corporation: Major nonprofit research institution with a significant health policy division conducting Medicare and healthcare delivery research. Comparable in policy analytic depth and federal client work but at vastly larger scale and broader scope.

Direct peers

• Avalere Health: Health policy consulting firm serving similar pharmaceutical, provider association, and government clients with deep Medicare and ACA policy expertise. Direct competitor for the same NTAP, payment reform, and value-based care engagements.
• Dobson DaVanzo & Associates: Boutique health economics and policy consulting firm focused on Medicare payment systems, post-acute care, and provider payment analysis. Highly comparable in size, scope, and federal client mix to KNG Health.
• Health Management Associates (HMA): Healthcare policy and consulting firm serving state governments, foundations, and providers on Medicaid, Medicare, and delivery system reform. Comparable in consulting model and state/foundation client base, though larger in scale.
• Acumen LLC: Health economics and policy research firm specializing in Medicare claims analysis, payment system evaluation, and quality measurement. Directly comparable in technical focus on CMS data and policy analytic deliverables.
• Lewin Group (OptumServe): Health economics and policy consulting firm where KNG Health's founder previously worked. Directly comparable in Medicare claims analytics, policy modeling, and federal/state client engagements, though materially larger as part of Optum/UnitedHealth.
• Moran Company: Healthcare policy and economics consulting firm focused on Medicare and Medicaid payment, delivery system reform, and provider economics. Direct comparable in scope and federal client orientation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/knghealth
• LinkedInlinkedin.com/company/kng-health-consulting-llc

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 KNG Health Consulting