Healthcare Analytics Consulting

Promoting access to exceptional care

BerryDunn’s healthcare analytics team integrates expertise areas across key disciplines to help clients contribute to more efficient, effective healthcare and social service systems. We combine actuarial science, data management, analytics, health policy, and economics to empower smarter decision-making. By blending our technical expertise with real-world insights, we deliver the knowledge and tools our clients need to tackle their most pressing challenges with confidence.

Our team advises a diverse array of organizations across the healthcare landscape, including accountable care organizations, MCOs, behavioral health providers, hospitals and health systems, innovative healthcare start-ups, Medicaid agencies, state regulators, and other state health policy agencies.

Healthcare analytics consulting

We provide sophisticated healthcare analytics, actuarial, and policy consulting services, integrating the complementary skills of our team into focused, collaborative client engagements, contributing to a more efficient and effective healthcare system.

Healthcare actuarial consulting

Improving financial stability through customized actuarial modeling

Data management and analytics

Unlocking the value in your data

Health policy and analysis

Driving informed policy through data and analytics

Behavioral health consulting

Managing the unique challenges of behavioral healthcare programs

Alternative and value-based payment consulting

From volume to value—shaping a smarter, sustainable healthcare system

Healthcare data integration

Bridging the gap between disparate data and systems

Healthcare actuarial consulting

We help manage and mitigate financial risk as clients improve access to healthcare for their populations. Our healthcare actuaries perform complex analyses and provide clear, concise, strategic advice to inform decision-making. We work collaboratively to understand key issues in depth and provide targeted, actionable recommendations.

Health insurance pricing

We project healthcare costs and required revenue to provide support for rate filings, proposals, and negotiations.

Financial risk modeling

Our team thoughtfully and carefully develops custom actuarial models tailored to each client's specific needs.

Legislative and regulatory actuarial consulting

Our team provides legislative and regulatory actuarial consulting, including analysis of the potential impact of proposed legislation on the health insurance market. This work includes mandated benefit reviews, evaluation of new programs, changes in healthcare financing, and other policy-driven studies.

Targeted market conduct examinations

We perform targeted market conduct examinations—delivering insights to support compliance, assess risk, and guide strategic decisions.

Actuarial reserve estimation and certification

Our actuarial team estimates incurred claims and provides statements of actuarial opinion to clients for their financial reporting requirements.

Innovation and healthcare transformation

We help innovators with strategic advice on financial risk mitigation, go-to-market strategies, and actuarial analysis and projections.

Data management and analytics

We provide data management and analytics services, including advisory, design, and implementation, through an integrated team with extensive experience meeting clients' analytical and reporting needs.

Enterprise data and analytics strategy and advisory services

We advise on data and decision support systems strategy, including data warehouses and marts, for government agencies, payors, and providers.

Business intelligence, reporting automation, and data visualization solutions

We specialize in designing and constructing customized data systems, ranging from tailored reporting tools to enterprise-grade data analytics solutions.

Data quality improvement consulting

We improve data quality by analyzing root causes and creating plans to enhance analytic solutions.

Business process redesign to support data strategies

We develop business process recommendations that address the unique nature of each client’s business to enrich data systems and empower decision- making.

Quality management and improvement consulting

We provide data insights and policy expertise to support continuous quality improvement (CQI) initiatives by designing and building custom reporting solutions.

Health policy and analysis

We deliver insights to agencies and policy groups to improve healthcare access and affordability, supporting strategic decisions on payment reform, cost transparency, insurance regulation, and market oversight.

Health policy development

We support state agencies with rigorous data and policy analysis to inform evidence-based decisions in healthcare financing, delivery system reform, and program oversight.

Statutory and regulatory analysis

We help clients interpret policy and shape strategy on healthcare financing in legislative and regulatory settings.

Market impact analysis

We analyze market impacts to inform policy and advance health equity through access, quality, and cost insights.

Health economic analysis and policy research

We apply rigorous economic analysis and research—such as econometric modeling—to evaluate and forecast health policy decisions.

Healthcare quality analysis

We analyze and assess healthcare quality and outcome metrics to guide improvement efforts and enhance patient care.

Ad hoc healthcare analysis

We provide custom analyses and reporting grounded in deep subject matter expertise and brought to life through impactful data visualization tools.

Behavioral health consulting

With deep knowledge of behavioral health policy, clinical models, finance, operations, compliance—including mental health parity—and analytics, we help organizations reduce financial risk, boost efficiency, improve outcomes, and maintain regulatory compliance.

Financial risk assessment and mitigation

We are experts in actuarial certification of liabilities, capitated rate development and financial analysis, and risk-adjustment methodologies.

Operational improvement

We assist with the unique requirements of authorization, claim adjudication, and other operational systems supporting behavioral health managed care.

Mental health parity compliance

We help clients navigate, document, and implement Mental Health Parity and Addiction Equity Act (MHPAEA) requirements to support compliance.

Clinical outcomes enhancement

Our team understands the unique set of legal and regulatory requirements, specialized services for specific conditions, and tailored care management processes.

Behavioral health analytics

We understand the unique characteristics of behavioral healthcare and substance use disorder treatment in data analysis.

Alternative and value-based payment consulting

Our multidisciplinary team brings expertise in healthcare payment methodologies and pricing reform. We work across public and private payers on model design, feasibility studies, sustainability, return-on-investment analyses, data infrastructure development, and program evaluation.

Payment model design

We provide payment model design services, specializing in the use of All-Payer Claims Data (APCDs), enrollment data, and provider files.

Economic analysis

Our team assesses financial risk, designs incentives, and evaluates spending impacts to support sustainable payment reforms.

Patient attribution analysis

Our team provides assistance with population-based (capitated) medical expense budgets.

Data infrastructure and performance reporting

We build data infrastructure and reporting systems to enable timely performance monitoring, accountability, and decision-making.

Quality and social determinants of health analysis

We build quality and Social Determinants of Health (SDOH) measures along with reporting tools to track performance, monitor outcomes, and generate insights.

Healthcare data integration

We transform your healthcare operations with seamless integration services that connect systems, streamline workflows, and enhance patient care. Our healthcare integration solutions break down data silos, ensure interoperability, and empower your team to make informed decisions with ease—all while meeting industry compliance standards.

Medicaid Enterprise System (MES) integration support

We connect portfolio-level management with discrete IT systems implementations with the goal of system modernization, simplification, and the promotion of client autonomy.

Data quality monitoring

We help ensure the integrity and reliability of your healthcare data with robust data quality monitoring services.

Master data management

We help consolidate and standardize data from multiple sources, ensuring consistency and accuracy across your organization.

Security and compliance

Our solutions are designed to meet industry standards such as HIPAA, ensuring that your organization stays compliant while minimizing risks.

Benefits of healthcare analytics with BerryDunn

Our expert healthcare analytics team transforms complex data into strategic insights that empower your organization to make informed, forward-thinking decisions.

Customized solutions

We develop customized solutions that address our clients’ unique challenges in data integration, management, analytics, and financial risk management.

Multidisciplinary team

We bridge the gap between technology and business needs through a collaborative, cross-disciplinary team of actuaries, data architects and engineers, economists, and policy analysts.

Independent and objective

Our team takes a well-researched, objective, and comprehensive approach—free from bias toward any specific methodology or technology solution.

Proven results

We build long-term client relationships by delivering value and quality, transforming complex problems into clear, actionable, strategic solutions aligned with our clients’ missions.