US Healthcare Solutions

Name

US Healthcare Solutions

Legal name

US Healthcare Solutions LLC

Website

https://ushcsllc.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Doylestown

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Consulting Services: The company generates revenue through professional consulting engagements with healthcare providers, payors, and related organizations. Services include strategic advisory, contract negotiation, network development, and alternative reimbursement model implementation.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

US Healthcare Solutions is a healthcare consulting firm that advises hospitals, physician groups, health plans/payors, and ancillary providers on strategic contract negotiation, network development, and the design of alternative reimbursement arrangements such as Pay for Performance (P4P), Provider Gain-Sharing, and Population-Based Payment™. Engagements are custom advisory projects initiated directly with healthcare executives and delivered through the firm's senior consultants.

Product overview

US Healthcare Solutions is a Philadelphia-based healthcare consulting company offering a suite of professional services rather than a software product platform. The firm's core offerings include Healthcare Strategy and Business Development, Contract Negotiation and Implementation, and Network Development and Health Plan Management. These services are supported by specialized reimbursement models including Population-Based Payment, Pay for Performance (P4P), and Provider Gain-Sharing arrangements. The company serves as an advisor to healthcare organizations on payor strategy, product distribution, health plan relationship development, and contracting strategy.

Differentiator

Problem solved

Functional benefit

Products and services

• Healthcare Strategy and Business Development Strategic advisory service focused on strategic planning and business development for healthcare payors, providers, and related organizations.
• Contract Negotiation and Implementation Expert advisory service for negotiating and implementing contracts between healthcare providers and payors, including national provider agreements and multi-million dollar rate agreements.
• Population-Based Payment™ Alternative reimbursement methodology developed by the firm that redefines the economics of healthcare and returns responsibility for patient outcomes, medical management, and equitable compensation to local physicians.
• Pay for Performance (P4P) Program Design Performance-based contracting program design that rewards healthcare providers for quality improvements and patient safety outcomes; includes development, negotiation, and funding support.
• Provider Gain-Sharing Advisory Advisory engagement converting existing one-sided risk contracts into mutually advantageous provider/payor gain-sharing arrangements.
• Network Development and Health Plan Management Advisory service for building and integrating health delivery networks nationally and locally, including market-specific and national network strategy for health plans undergoing mergers or expansion.
• Expert Witness Services Expert witness services provided to nationally recognized law firms on matters of contract interpretation and health plan management.

Named customers22 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• AetnacoreStrategic or Co-development Partner · 1 January 2008US Healthcare Solutions facilitated a multi-year Pay for Performance agreement between Aetna and Doylestown Hospital. The company developed and negotiated the P4P program that rewarded improvement in quality and patient safety, incorporating the hospital's quality efforts consistent with Aetna's performance-based contracting philosophy.

Scale indicators2 records

Recent moves5 records

Expansion highlights3 records

Broad incumbents

• Optum Advisory Services: Healthcare consulting arm of UnitedHealth Group/Optum, advising providers, payers, and employers on value-based care, network strategy, and population health — a much larger, more resourced competitor in US Healthcare Solutions' core niches.
• McKinsey & Company Healthcare Practice: Global management consulting firm with a large healthcare practice serving payers, providers, and pharma — competes in the high-end value-based care and contracting strategy space that US Healthcare Solutions addresses at a smaller scale.
• Guidehouse (formerly Navigant Consulting): Large management consulting firm with a dedicated healthcare practice covering providers, payers, and life sciences — competes in the same value-based care and population health advisory space but with far broader scope and scale.
• Bain & Company Healthcare Practice: Global strategy consulting firm with a healthcare practice advising payers, providers, and services companies on value-based care and growth strategy — competes for the same type of strategic advisory mandates.
• Premier Inc. Healthcare performance improvement company serving hospitals and health systems with consulting, data, and supply chain services — overlaps with US Healthcare Solutions' provider performance and P4P advisory work.

Direct peers

• The Chartis Group: A national healthcare management consulting firm focused exclusively on health systems, hospitals, and payers, advising on strategy, operations, and value-based care — directly comparable to US Healthcare Solutions' provider/payor advisory focus.
• ECG Management Consultants: Healthcare consulting firm specializing in strategy, finance, and operations for hospitals, health systems, and physician groups — closely aligned with US Healthcare Solutions' provider-side advisory work.
• Health Management Associates (HMA): Consulting firm specializing in publicly financed healthcare (Medicaid, Medicare, safety-net providers) with deep policy and payment expertise — comparable to US Healthcare Solutions' payor and reimbursement model focus.

Emerging players

• Sg2 (a Vizient company): Healthcare intelligence and consulting firm helping hospitals and health systems with strategy, growth, and value-based care planning — comparable in targeting provider-side value-based care engagements.
• Xcenda (a Cencora company): Consulting and analytics firm focused on pharma, payers, and health systems on reimbursement strategy and market access — partially overlaps with US Healthcare Solutions' reimbursement methodology and payor contract advisory work.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/us-healthcare-solutions

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 US Healthcare Solutions