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Our insights on the latest trends across Medicaid, Medicare, and Commercial Payers.
We offer grounded perspectives on how the healthcare market is shifting, shaped by real work with health plans, healthtech teams, and industry partners. Our insights surface what’s changing, where friction is emerging, and how different stakeholders can respond with greater alignment, rigor, and impact.
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Developing a Go-to-Market Strategy for a Virtual Triage Tool
To help a digital health startup scale its virtual triage tool in the U.S. market, Akros Advisory delivered a comprehensive GTM playbook. Our approach leveraged market insights, payer priorities, and strategic recommendations to optimize the tool’s positioning, adoption, and growth trajectory. Client Context A digital health startup specializing in virtual triage sought to introduce its product to the U.S. payer market. While the tool demonstrated strong functionality in

Demi Radeva, MSc
Feb 3, 2025
Go-to-Market for a Social Care Software Solution
To help a social care software startup scale its platform for supporting vulnerable families, Akros Advisory developed a comprehensive GTM playbook tailored to Medicaid Managed Care Organizations (MCOs). Our approach prioritized actionable insights, payer alignment, and clear market differentiation to drive adoption and growth. Client Context A social care software startup aimed to expand its platform, which connects families to government subsidies and services, into the

Demi Radeva, MSc
Feb 3, 2025
Empowering PACE Startups to Expand Community-Centered Senior Care
To support a PACE startup in scaling its culturally focused care model, Akros Advisory applied a comprehensive, data-driven methodology. Our approach leveraged a deep understanding of PACE dynamics, payer priorities, and value-based care principles to deliver meaningful results. Client Context A PACE startup dedicated to providing culturally tailored care for seniors faced challenges scaling its model to serve diverse communities. While the organization was rooted in a m

Demi Radeva, MSc
Feb 3, 2025
Transforming Reimbursement Strategy for a Transplant Logistics Innovator
To support a transplant logistics startup in refining its reimbursement strategy and scaling its impact, Akros Advisory employed a targeted, data-driven approach. Our work focused on maximizing revenue potential through alignment with payer priorities, geographic optimization, and innovative market positioning. Client Context A transplant logistics startup sought to refine its reimbursement strategy and expand its reach in the competitive organ transplant ecosystem. The o

Demi Radeva, MSc
Feb 3, 2025
Enabling Sustainable Revenue Models for Regional Non-Profits
Client Context A national non-profit focused on improving the health and wellness of aging populations faced significant barriers in creating a sustainable financial model for its services. While the organization offered evidence-based wellness programs and tools to address social determinants of health (SDOH) such as food insecurity, social isolation, and transportation barriers, its reliance on grants and philanthropy posed challenges for long-term financial sustainabilit

Demi Radeva, MSc
Feb 3, 2025
Enhancing Client Offerings Through HEI and Payvider Insights
A consulting firm supporting payer organizations struggled to differentiate itself in a competitive landscape. Limited understanding of CMS’s Health Equity Index (HEI) metrics and an absence of robust tools for optimizing payer-provider (payvider) models constrained the consultancy’s ability to address key client needs. Without these capabilities, the firm was unable to position itself as a trusted partner in improving Star Ratings and advancing health equity. To address ch

Demi Radeva, MSc
Feb 3, 2025
Optimizing the Go-to-Market (GTM) Strategy for a Consulting Firm
A consultancy serving health plans sought to expand the reach and adoption of its newly developed dashboards and reporting tools. While these innovations provided actionable insights and interactive features, the consultancy’s go-to-market (GTM) strategy lacked the structure and clarity needed to highlight their value to prospective payer clients. The absence of a cohesive approach and targeted messaging limited the ability to differentiate these products in competitive marke

Demi Radeva, MSc
Feb 3, 2025
Reimagining Reporting and Insights Delivery for a Payer Consulting Firm
Client Context A prominent consultancy serving health plans struggled to deliver reporting solutions that aligned with client needs. While their reports provided comprehensive data, they were overly complex, lacked actionable insights, and failed to resonate with executive-level stakeholders. Health plan clients expressed a strong desire for real-time, user-friendly tools that offered clear guidance for decision-making and tangible next steps. Our Approach To address the

Demi Radeva, MSc
Feb 3, 2025
Designing a Scalable Analytics Framework for a Consulting Firm
A leading consultancy working with health plans faced significant challenges in tailoring its analytics offerings to diverse client needs. The lack of personalization and scalability in their solutions limited their ability to deliver actionable insights to executive decision makers managing varied member populations across different geographies. This gap hindered their ability to effectively address payer priorities such as SDOH interventions, demographic-specific care, and

Demi Radeva, MSc
Feb 3, 2025
Empowering Healthcare Startups Through an Accelerator Program
To equip healthcare startups with the tools and strategies needed for commercialization, Akros Advisory designed and delivered a comprehensive curriculum for an accelerator’s healthcare-focused cohort. This effort supported 15 innovative companies in refining their value propositions, engaging customers, and navigating complex payer dynamics during March and April 2024. Client Context A leading startup accelerator launched a healthcare-specific cohort to support early-st

Demi Radeva, MSc
Feb 3, 2025
Organizing a Startup Festival
To strengthen the startup ecosystem and celebrate innovation, Akros Advisory played a pivotal role in organizing a flagship startup festival in 2024. By managing over 100 sessions across 10 locations with a team of interns, staff, and executive volunteers, we delivered an engaging, impactful event that exceeded community expectations. Client Context This annual startup festival serves as a celebration of innovation, entrepreneurship, and collaboration. It brings together

Demi Radeva, MSc
Feb 3, 2025
Strengthening Angel Investing Ecosystems Targeted Recruitment
To support the growth of Minnesota's innovation ecosystem, Akros Advisory collaborated on a pioneering angel investor activation program designed to recruit and engage diverse participants in early-stage investing. Leveraging strategic outreach and close collaboration with our client, collectively we exceeded recruitment goals and delivered actionable recommendations to scale future efforts. Client Context A statewide initiative to bolster Minnesota’s innovation ecosyste

Demi Radeva, MSc
Feb 3, 2025


To Code Or Not To Code? A Case Study
Note: This Case Study is based on the workshop that can be found here: https://www.akrosadvisory.com/akademy Table of Contents: I.) Workshop Introduction II.) To Code III.) Not to Code IV.) Which is the right option? I) Workshop Introduction The “To Code or Not to Code” workshop was presented by Demi Radeva, CEO and Chief Strategist of Akros Advisory Services, and Rebecca Lanquist, owner of Horizon Reimbursement Consulting, LLC. The workshop described specific reim

Katelyn Kostakis
Jun 25, 2024


ROI for DHT: Type 2 Diabetes Example
Disclaimer: The information provided in this document is proprietary and based on publicly available information. It offers independent views and analysis and is intended for informational purposes only. If anyone wishes to use or rely on this information, they should contact us for permission and further details. In digital health technology (DHT) partnerships, return on investment (ROI) is an important metric that all digital health startups need to understand when commun

Demi Radeva, MSc
May 14, 2024


Series A Success Story: Assisting a Last-Mile Pharmacy Delivery Startup in Securing Series A Funding by identifying additional revenue opportunities
Company Background: Series A start-up offering a last mile prescription delivery platform. With this prescription platform, this start-up has generated successful partnerships that have led to cost-saving outcomes and increased prescription accessibility and was seeking additional strategy to grow revenue. Company Need: The client was looking to understand how to monetize company data and leverage it to secure additional revenue from payer partnerships. Engagement:

Demi Radeva, MSc
Feb 25, 2024


Non-Profit Sustainability Showcase: Large Non-Profit's Quest for Sustainable Revenue
Company Background: Large non-profit organization providing social services through a digital health platform to improve the dissemination and availability of health-related classes for the aging population. With this technology platform, the client had successfully established partnership with numerous health insurance companies. Company Need: The client was looking for strategic advising on multiplying their revenue sources and growing partnerships. Engagement:

Demi Radeva, MSc
Feb 25, 2024


Global Expansion Success Story: Series B International Startup's Journey into the US Market
Company Background: The company is an international company looking to sell their solution to U.S. payers and enter the U.S. healthcare landscape. They have various digital health solutions to help payers with triage and steerage processes. The company has successfully helped several healthcare stakeholders and established numerous global partnerships and implemented their digital solution with them. These solutions have been effective at reducing costs, improving patient s

Demi Radeva, MSc
Feb 25, 2024
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