ForHealth Consulting at UMass Chan Medical School

Name

ForHealth Consulting at UMass Chan Medical School

Legal name

ForHealth Consulting at University of Massachusetts Chan Medical School

Website

https://forhealthconsulting.umassmed.edu

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

251–500 employees

Short description

ForHealth Consulting is the non-profit consulting division of UMass Chan Medical School, providing Medicaid policy advisory, disability determination, clinical pharmacy, training, and applied data analytics services to state government agencies, health plans, and healthcare providers.

Ownership category

akta.pro rank

Product category

Healthcare Management Consulting

NAICS

Management Consulting Services (54161), Other Management Consulting Services (541618)

SIC

Services-Management Consulting Services (8742), Services-Health Services (8000)

akta.pro industry

PRIMARYHLAJAOAL

Health Systems Strengthening & Universal Health Coverage (UHC) Partnerships

Healthcare & Life Sciences/Public Health, Government & Regulators/Global Health Initiatives & Partnerships

Keywords

• Healthcare consulting services
• Medicaid program services
• Clinical pharmacy services
• Disability determination services
• Healthcare workforce training

Headquarters

HQ city

Westborough

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, Infrastructure

Revenue model

1. Healthcare Consulting Services: Professional consulting services for state government health and human services agencies, healthcare providers, and health plans. Services include policy development, program implementation, data analytics, training, and operational support for Medicaid programs and public health initiatives.
2. Funding Generation for Clients: The organization generates approximately $200M annually in funding for clients' vulnerable population services through expertise in reimbursement optimization, Medicaid claiming, and grant support.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

ForHealth Consulting at UMass Chan Medical School is a consulting division that delivers healthcare and human services consulting to state Medicaid agencies, health plans, and healthcare providers. Its offerings span disability determination, clinical pharmacy programs, behavioral health, data analytics, training and workforce development, and program administration support. The unit was founded in 2012 as Commonwealth Medicine and rebranded to ForHealth Consulting in 2025.

Product overview

ForHealth Consulting at UMass Chan Medical School is a healthcare consulting organization offering a portfolio of professional services organized around three core solution areas: Better Access, Better Knowledge, and Better Performance. The portfolio includes ten primary service offerings: Disability Determination Services, Clinical Pharmacy Services, Training & Workforce Development, Enhanced Coordination of Benefits, Medicare Eligibility Enhancement Services, Justice & Health Equity Services, Healthcare Operations & Regulatory Consulting, Survey Research, Applied Research & Data Analysis, and Healthcare Costs Reimbursement. Additionally, the organization operates the Behavioral Health Workforce Training Clearinghouse and provides Newborn Screening Services. These services work together to help government agencies, healthcare organizations, and providers improve outcomes for vulnerable populations through consulting expertise, data analytics, workforce training, and regulatory guidance.

Differentiator

Problem solved

Functional benefit

Products and services

• Disability Determination Services
• Clinical Pharmacy Services
• Behavioral Health Consulting
• Healthcare Data Analytics
• Workforce Training and Education
• Program Administration Support

Quantifiable outcome

• $200M in annual funding generated for clients' vulnerable population services
• +8 more outcomes

Named customers8 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

Feature5 records

Partnerships

Seven partnerships are on record, tiered minor and core.

• Massachusetts Medicaid Enterprise Systems ConferenceminorGTM or Marketing Partner · 28 August 2019Presentation venue for sharing Enhanced Coordination of Benefits methodology and results with state Medicaid stakeholders at annual conference.
• Massachusetts Executive Office of Health and Human Services (EOHHS)coreStrategic or Co-development PartnerForHealth Consulting partners with Massachusetts EOHHS on multiple initiatives including the Behavioral Health Workforce Training Clearinghouse, Safe and Successful Youth Initiative, and various behavioral health reform programs. The organization serves as a key implementation partner for state health policy initiatives.
• Massachusetts Executive Office of Aging & IndependencecoreStrategic or Co-development PartnerPartnership to design and develop the Dementia Care Planning Toolkit, a resource for individuals living with dementia, their care partners, families, and care providers to create personalized care plans.
• Massachusetts Advisory Council on Alzheimer's Disease and All Other DementiascoreStrategic or Co-development PartnerCollaborative partnership to develop the Dementia Care Planning Toolkit and support the state's strategic response to Alzheimer's disease and dementia.
• Academy of Managed Care Pharmacy (AMCP)coreGTM or Marketing PartnerForHealth Consulting experts actively participate in AMCP committees, speaker panels, and conferences to share research and clinical expertise on pharmacy intelligence, data analysis, and evidence-based medicine reviews.
• National Committee for Quality Assurance (NCQA)coreStrategic or Co-development PartnerCAHPS PCMH survey administration to support Patient-Centered Medical Home recognition for federally qualified health centers, working within NCQA standards and requirements.
• Massachusetts Department of Public HealthcoreStrategic or Co-development PartnerMulti-year research partnership on community health worker certification evaluation, including collaboration with multiple divisions and bureaus within the department.

Scale indicators11 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Avalere Health: Healthcare strategy and policy consulting firm within Fishawack Health, advising providers, payers, and life sciences companies. Overlaps with ForHealth on payer and pharmacy advisory work, though broader in scope including biopharma.
• The Lewin Group: Healthcare policy consulting firm within Optum serving federal and state agencies, health plans, and providers. Comparable on Medicaid policy and value-based care consulting, but operates as part of a much larger enterprise.
• Guidehouse (formerly Navigant): Large management consultancy with a substantial healthcare practice serving providers, payers, and government agencies. Competes for large-scale state Medicaid transformation and value-based care engagements.

Direct peers

• Health Management Associates (HMA): National healthcare consulting firm with deep Medicaid, behavioral health, and state government practice areas. Competes for the same state Medicaid agency RFPs and serves managed care plans, providers, and government clients across the U.S.
• Mathematica: Non-profit policy research and consulting firm with major health practice covering Medicaid, disability, and survey research. Closely comparable research-driven consulting model serving federal and state health agencies, and runs CAHPS-adjacent survey programs.
• Sellers Dorsey: Healthcare and human services consulting firm focused on Medicaid financing, behavioral health, and state agency strategy. Directly comparable peer serving many of the same state Medicaid and behavioral health clients as ForHealth.
• Bailit Health Purchasing: Healthcare purchasing and Medicaid consulting firm specializing in value-based purchasing, ACO design, and state agency advisory. Most directly comparable peer; Beth Waldman joined ForHealth from Bailit as Senior Managing Director, highlighting identical service overlap.
• Manatt Health: Healthcare consulting and legal advisory practice within Manatt, Phelps & Phillips, focused on Medicaid policy, health system transformation, and state regulatory strategy. Overlaps with ForHealth on state Medicaid and value-based purchasing engagements.
• NORC at the University of Chicago: University-affiliated, non-profit research organization with major health and survey research programs serving federal and state agencies. Comparable academic-affiliated, mission-driven model, especially on survey research and behavioral health program evaluation.
• BerryDunn: Mid-sized CPA and consulting firm with a dedicated healthcare practice serving state Medicaid agencies, behavioral health providers, and FQHCs. Comparable scale and state-agency focus to ForHealth Consulting.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ForHealthCnsltg
• YouTubeyoutube.com/@forhealthconsulting
• Facebookfacebook.com/ForHealthConsulting
• LinkedInlinkedin.com/company/forhealth-consulting

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 ForHealth Consulting at UMass Chan Medical School