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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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What Startups Really Need from Accelerators—A Curriculum Designed for Impact
For many startups, joining an accelerator feels like a golden ticket—access to mentors, investors, and a structured program that promises to take them from idea to scale. But not all accelerator programs deliver real value. Too often, founders leave without clear commercialization strategies, struggling to translate their pitch decks into actual revenue. So, what do startups really need from an accelerator? Based on our work designing accelerator curricula, we’ve identified


Selling Digital Health Technology to Medicaid
Medicaid presents a complex market for digital health companies because priorities, purchasing processes, and stakeholders vary across states and plans. This workshop explores how innovators can navigate the Medicaid landscape, understand buyer needs, and build a more effective strategy for gaining payer adoption.


Designing Effective Dashboards for Payer Executives
Payer executives rely on dashboards to track performance, identify issues, and drive strategic decisions in real time. Yet, many dashboards fail to meet their needs. Whether it’s cluttered interfaces, excessive metrics, or missing context, a poorly designed dashboard can lead to confusion instead of clarity. At Akros, we specialize in building executive-friendly dashboards that simplify complex data, provide real-time insights, and align with payer decision-making prioritie


Unlocking Growth: The Power of Shared Capabilities Between Non-Profits & For-Profit Entities
For non-profits considering a for-profit spin-off, one of the biggest strategic advantages is the ability to leverage shared capabilities across both entities. Rather than building everything from scratch, a well-structured for-profit arm can draw on the strengths, resources, and credibility of its non-profit counterpart—while the non-profit continues to benefit from commercial efficiencies and new revenue streams. At Akros, we’ve seen firsthand how mission-driven organizat


PACE: The Innovative Reimbursement Model Transforming Senior Care Affordability
As the population of adults aged 65 and older continues to grow, the demand for cost-effective, high-quality senior care has never been more urgent. Enter PACE (Program of All-Inclusive Care for the Elderly) —a unique reimbursement model that’s reshaping the way we think about managing senior populations. Why PACE is a Game-Changer PACE organizations blend Medicare and Medicaid funding into a unified, capitated payment model. This innovative approach enables PACE centers t


"An innovation in reimbursement that gets me excited? PACE."
I often get asked, “What’s an innovation in healthcare reimbursement that you’re genuinely excited about?” For me, the answer is simple: PACE (Program of All-Inclusive Care for the Elderly). PACE isn’t just a reimbursement model—it’s a revolutionary way to think about how we fund and deliver care for some of our most vulnerable populations. At its core, PACE seamlessly integrates Medicare and Medicaid funding into a single, capitated payment. This isn’t about just pooling r


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


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


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


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


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


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


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


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


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
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