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13point1

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13point1 Advisors is a healthcare advisory firm specializing in payment integrity, cost-containment, and claims-processing efficiency.  Our team leverages decades of collective experience leading healthcare payer operations to help transform health plans, employers, and technology partners.

Who We Serve

Unlocking Value for Payers, Employers, and Technology Partners

We transform health care Payment Integrity, Cost Containment, and Claim Processing Efficiency by leading journeys for payers, employer groups, and technology partners that unlock incremental value and create lasting improvements.

HEALTH
PLANS

Streamline operations and improve performance.

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SOLUTION PROVIDERS

Validate approach and market position.

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EMPLOYER GROUPS

Build a strong, effective foundation.

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INVESTMENT FIRMS

Smarter due diligence based on actual outcomes.

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Our Team

Our team brings decades of leadership in healthcare strategy, operations and technology.  We partner with clients to untangle the complexity of payment integrity, creating lasting impact.

How We Help

We deliver a comprehensive range of services, tailored to meet the unique needs of each client.  For those seeking services outside the below examples, contact us here.

Cost Containment Planning

By coordinating the strengths of process owners and eliminating non-value-added duplication, we enable program owners to align incentives across all facets of care delivery, payment integrity, and claim management.

Our Approach

The Framework for Success

01

Assess & Define Problems

We analyze existing operations to uncover root causes of inaccuracies, inefficiencies, and missed savings opportunities.

02

Educate & Formulate Approach

We align stakeholders through data-driven insights and develop a clear, actionable roadmap tailored to your organization’s goals.

03

Implement Targeted Solutions

We deploy scalable solutions that integrate seamlessly into existing workflows to improve payment accuracy and operational performance.

04

Validate Savings

We measure and verify financial and operational outcomes to confirm realized savings and ensure sustained program value.

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