Solutions for Healthcare Strategy & Policy
Pivot helps healthcare organizations, policymakers, and community stakeholders design and implement high-impact interventions that reduce costs, improve health outcomes, and create sustainable financing models. Using our proprietary methodology, we achieve positive improvements through community health interventions by addressing root causes - not just symptoms.
WHAT WE’RE DOING
Pivot is building a smarter healthcare financing model. We work at the intersection of data, policy, and implementation - helping organizations identify where healthcare dollars go, which communities they impact, and what measurable results they deliver. By improving HEDIS performance, reducing avoidable hospitalizations, and tying premiums and subsidies to measurable ROI, Pivot helps insurers, providers, and policymakers cut waste, protect families, and stabilize the system.
We create accountable systems that work.
Data Insights
Pivot turns complex healthcare data into clear, actionable intelligence. We help organizations identify at-risk populations, pinpoint revenue opportunities, and track quality performance in real time.
Community Health Intervention Design
We partner with healthcare teams to design and implement targeted pilots and outreach strategies. Our hands-on approach reduces staff burden while accelerating measurable improvements in outcomes and incentives.
Performance Measurement & ROI Tracking
We establish baseline metrics, track intervention effectiveness, and demonstrate ROI across clinical, financial, and community stability indicators. We make complex data accessible to everyone - showing what works, where, and why.
Analytics & Risk Stratification
Performance Monitoring
Supporting Payers, Providers, & Health Systems
Risk Reduction & Compliance
Analytics & Risk Stratification
Use claims, EHR, and community data to identify high-risk populations and ensure accurate risk adjustment. Our tools highlight where outcomes can improve and where revenue opportunities are being missed.
Support for Payers, Providers, & Health Systems
Pivot builds strategies that reduce staff burden and accelerate measurable improvements. From pilot design to member engagement, we help organizations raise quality scores, protect revenue, and retain members.
Performance Monitoring & Visualization
Interactive dashboards track HEDIS, STAR, and value-based metrics in real-time. Healthcare leaders gain visibility into both clinical results and financial performance, enabling faster, data-driven decisions.
Risk Reduction & Compliance
Pivot helps healthcare organizations reduce exposure to financial and clinical risks by strengthening quality performance, managing high-cost populations, and ensuring accurate risk adjustment.
What Sets Pivot Apart?
Most healthcare consultants stop at strategy. Pivot stands apart by embedding directly with your team, turning data into action, and delivering measurable results that improve both patient outcomes and revenue performance.
Embedded Action: We co-design and co-implement, ensuring strategies translate into dollars.
Cross-Sector Lens: Aligning healthcare with housing, workforce, and community investments to tap into new funding sources.
Rapid Results: 6-week pilot windows that deliver early ROI.
Revenue & Mission Alignment: Improving patient outcomes while unlocking new reimbursements, incentives, and member retention.
Let’s Get Started.
info@pivotpartnerships.org
(520) 405-2029
Monday through Friday 8a to 8p (Eastern)