Health systems, hospitals, rural health, behavioral health providers and primary care
Providers
Third Horizon helps health systems, hospitals, primary care practices, and behavioral health and crisis service providers build sustainable systems of care that improve lives. The team helps providers understand market conditions and navigate public policies that affect their services and revenue. Whether implementing value-based care or developing new programs and partnerships, providers benefit from the team’s policy expertise,data analysis, and implementation guidance. The firm helps clients strengthen financial sustainability and improve access to care.
Key Capabilities
Third Horizon advisors work alongside health and behavioral health care boards, executives, clinicians, and non-clinical staff. Our subject matter experts and data scientists help provider organizations remain competitive, assess community needs, understand the market and public policy landscape, and expand and improve service delivery.
- Financial sustainability and payment strategy
- Service line strategy and performance improvement
- Value-based care design and payer partnership
- Strategic planning
- Delivery system reform
Third Horizon's actuaries and health services researchers translate pricing data, claims histories, population insights, and regulatory constraints into numbers clients can confidently stand behind with partners, regulators, and investment committees.
- Risk contract and value-based payment modeling
- Service line financial analysis and forecasting
- Bundled-payment and episode pricing
- Reimbursement benchmarking
- Independent actuarial validation and peer review
Providers have data. Turning it into decisions is the hard part. Whether the question is what a community needs, whether a program is working, where a market is heading, or what a payer actually pays, the answer requires understanding health care data and bringing it together to tell a story. Third Horizon's data team does that work - needs assessments, evaluations, market research, and custom analytics - and leverages Third Horizon's Starset Analytics platform built upon structured and validated price transparency data.
- Community health needs assessments
- Program and service line evaluation
- Market research and competitive analysis
- Custom analytics and data engineering
Starset Suite
Client Story
$22MAnnual revenue opportunity identified through reimbursement benchmarking for a behavioral health providerA multi-site academic behavioral health system came to Third Horizon to build payer-specific benchmarks for high-volume inpatient and outpatient services. We anchored rates to peer, market, and claims-based benchmarks. We built a negotiation-ready rate book by payer and service line, and delivered a contracting strategy. The work uncovered systematic underpayment for non-physician services despite parity for physicians — and identified $22 million in annual revenue opportunity through market per diem benchmarks.
Start a Conversation
If you represent a health system, a hospital, or a behavioral health provider trying to build something durable, we can help.
Contact Us