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industries

Healthcare

healthcare verticals

Segments We Support

Trusted by Fortune 500 companies and organizations worldwide, we bring deep industry knowledge to enhance processes, optimize technology, drive innovation, and improve patient outcomes. Our proven strategies and hands-on experience help navigate regulatory pressures and solve real-world challenges with precision and care across the entire healthcare ecosystem.

Payers

With 100+ payer engagements, we drive measurable results through strategic transformation—optimizing claims, modernizing systems, and improving member and associate experiences. From commercial plans to government programs, we deliver cost-effective, high-quality solutions with lasting impact.

Providers

Our work with 96% of Fortune 500 healthcare companies gives us deep insight into the industry’s toughest challenges—and how to solve them. We bring that experience to every engagement, helping you streamline operations, enhance care delivery, and achieve meaningful outcomes for the communities you serve.

IDN

We support integrated delivery networks (IDNs) in coordinating care, optimizing operations, and improving financial performance. From clinical integration to value-based payment models, our solutions drive efficiency, improve collaboration, and promote sustainable growth across the healthcare continuum.

Pharma & Biotech

We partner with pharma and biotech clients from pre-clinical through commercialization, delivering tailored consulting that scales with your growth. From early regulatory support through IPO, market readiness, and manufacturing, our expertise drives growth, reduces costs, and ensures compliance—positioning you for long-term success.

Medical Device

We help you navigate regulatory complexity, streamline quality systems, and accelerate market access. From design control and ISO 13485 compliance to CAPA remediation and EU MDR readiness, we drive operational efficiency and audit preparedness. Our experts reduce costs, ensure compliance, and support commercial success.

Contract/External Providers

Whether you’re a CRO, CDMO, CMO, or diagnostics leader, we deliver the strategic horsepower you need to stay ahead. Our consultants help life sciences service providers strengthen regulatory compliance, boost revenue, cut operational costs, and scale efficiently—from early-stage development through commercial launch and beyond.

Related Services

Expert Support in Any Challenge

Revenue Cycle Optimization

We leverage analytics to uncover opportunities for process and EHR optimization. Our assessments and recommendations form the foundation of practical, results-driven solutions that enhance efficiency. Each solution includes robust monitoring and reporting to keep daily, weekly, and monthly performance closely tracked and accountable.

Internal Audit & Compliance Support

Our business process knowledge provides exceptional value to audit and compliance leadership through a profound understanding of the evolving challenges within healthcare organizations. We can elevate the governance function to esteemed position of a trusted advisor among executive leadership, offering insightful, pragmatic recommendations aimed at mitigating risks, ensuring compliance, and driving enhancements in quality, efficiency, and financial performance across all operational domains.

Value-Based Care

RGP is a trusted partner in advancing value-based care model initiatives, helping to navigate the shift from traditional fee-for-service models. We offer expertise in continuum of care coordination, contracting, operating model redesign, and advanced data analytics. We excel in improving quality measurement capabilities, reducing cost-of-care, and enhancing the patient experience.

Comprehensive Digital & Operational Transformation

RGP revolutionizes the healthcare and pharmaceutical landscape with a human-centered approach to digital and operational transformation. We simplify complex IT systems, enhance patient engagement through accessible digital tools, and integrate digital strategies seamlessly with operational workflows. Our solutions empower your patients, optimize processes, and free your staff to deliver exceptional care. The result? Improved patient satisfaction, staff productivity, cost savings, and data-driven insights for lasting success.

Medicare Stars Optimization

RGP excels in Medicare Stars optimization, driving continuous improvement to optimize Stars performance. Through our Stars Assessment Framework, we gain insight into organizational challenges and provide transformative solutions, all while improving Stars ratings through strong governance, accountability, and data-driven initiatives. Through strategic planning aimed at both short and long-term success, and advisory services that keep businesses ahead of regulatory changes, we maximize Stars success.

Product Go-to-Market Strategy

When it comes to a go-to-market strategy, a well-planned approach for new healthcare product offerings is critical. Our methodology integrates market segment needs, competitive differentiators, and personalized solutions to target customers effectively, while also accelerating speed to market and fostering market growth. We refine product planning culture, confirm budget and resource requirements, and reduce work effort by undertaking time-consuming tasks of product development and market entry. We develop clear product strategies to expedite the product lifecycle, while organizing planning for effective promotion to diverse customer segments.

End-to-End Process Automation & Optimization

Streamline your healthcare operations with our advanced automation solutions. We optimize and automate processes such as grievance and appeal workflows and claims processing, reducing costs and enhancing transparency. Our industry and technology experts know how to ensure faster, more accurate resolutions, leading to higher customer satisfaction and operational efficiency

Integrated Health Product Development & Experience Enhancement

Empower your organization with tailored health products that address both behavioral and physical health needs. We leverage tried and true engagement strategies and digital technologies to ensure your products are competitive, highly effective, accessible, and user-friendly.

Clinical Trials Optimization, Development & Audits

RGP’s support enhances the speed, quality, and cost-efficiency of clinical research from early-phase design through trial execution and closeout. Our services include predictive modeling for protocol design and optimization, site selection strategy, patient recruitment acceleration, vendor and CRO oversight, and risk-based monitoring. RGP experts also support regulatory readiness, data quality improvement, and cross-functional coordination to reduce delays and cost, ensure compliance, and increase the likelihood of trial success. We conduct comprehensive clinical trials audit services to ensure regulatory compliance, data integrity, and GCP adherence—helping sponsors identify risks, strengthen quality systems, and maintain trial credibility across all study phases.

Quality Assurance & Regulatory Affairs (QARA)

We help life sciences companies strengthen compliance, reduce risk, and ensure inspection readiness across global markets. Our services include QMS development and remediation, CAPA management, audit preparation, regulatory strategy, and submission support for FDA, EMA, and other health authorities. RGP experts also assist with ISO 13485, 21 CFR Part 820, EU MDR/IVDR compliance, and ongoing quality system optimization to enable faster approvals, product reliability, and sustained market access.

Innovation/Pipeline PMO Build

Our deep expertise enables us to support clients across the healthcare and life sciences ecosystems with proven strategies, methodologies and tools that establish and strengthen Innovation or Pipeline PMOs. We conduct Rapid assessments to determine whether your PMO drives innovation or merely enforces compliance. RGP helps transform PMOs into high-performing, future-focused value multipliers, accelerating high-potential innovations with adaptive, risk-savvy governance and agility at every stage of the pipeline.

the team

Connect with Our Leaders

Rachel Adler
Healthcare Solutions Leader

David Hullum
Healthcare Leader, Provider Services

Marcia Brown-Rayford
Healthcare Leader, Life Sciences

Kathy Eagan
Healthcare Leader, Provider Services

Matt Kumper
Healthcare Leader, Payer Services

Ethan Edwards
Healthcare Leader, Digital Execution & Health Technology

Zach Berger
Healthcare Leader, Government Programs

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