Analytics & Medical Economics
In healthcare, context and domain knowledge aren't optional—they're essential. Covalence Health combines analytical rigor with deep industry expertise to help clients extract meaningful insights from complex datasets. We understand that identical metrics mean entirely different things for a Medicare Advantage plan versus a hospital system, or for a specialty pharmacy versus a primary care group. Our approach to analytics starts with understanding the business model, the payment structures, the regulatory environment, and the competitive dynamics that shape how value is created and measured. This contextual expertise ensures our analysis doesn't just identify patterns—it reveals actionable intelligence that drives real business decisions.
Most consultants and platforms stop at data insights, but that's only half the story. Our team goes further, building economic models that translate analysis into actionable roadmaps. Medical economics in healthcare isn't one-size-fits-all, and cookie-cutter calculations lead to costly mistakes.

Data Tells Stories, Economics Drives Decisions
We help clients accurately model economics across different healthcare segments by accounting for the nuances that matter: risk adjustment methodologies, member attribution rules, quality incentive structures, network design impacts, and utilization patterns that vary by population and market. Whether evaluating a new service line, assessing partnership opportunities, or building financial projections for growth initiatives, we ensure the math reflects reality. Our clients get economic analyses they can trust—grounded in how money actually flows through their specific corner of the healthcare ecosystem, not generic industry assumptions that fall apart under scrutiny.

Current Growth Strategy Unlikely to Hit Target
Identifying when current strategies are inadequate

Change in Customer Behavior Requires Revitalization
Refreshing strategies to address evolving customer needs

Need New or Adjacent Sources of Growth
Discovering potential white spaces for growth
