Solutions for Healthcare
Pivot helps healthcare organizations close gaps in quality, reduce costs, and unlock new revenue opportunities. By improving HEDIS and STAR ratings, capturing risk-adjusted reimbursements, and retaining members, Pivot’s model drives measurable ROI while supporting healthier, more stable communities.
WHAT WE’RE DOING
Pivot is building a smarter healthcare financing model. Instead of masking costs with endless subsidies, we make every healthcare dollar accountable - showing where it goes, which communities it impacts, and what outcomes it delivers. 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.
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.
Consulting & Managed Services
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.
Optimization & Effectiveness Review
We evaluate organizational effectiveness to uncover gaps that put quality scores and revenue at risk. We deliver optimization strategies and continuous improvement cycles that strengthen both financial and clinical results
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.
Pivot Certification Track
Elevating Faith Institutions with Data, Strategy & Building Community.
The Pivot Certification Track equips healthcare leaders and teams to move beyond data consumption into confident, actionable practice. Participants learn to design targeted interventions, guide organizational strategy with evidence, and communicate results across clinical, operational, and financial teams. Graduates leave with tools and frameworks that make their organizations more resilient, compliant, and revenue-positive - driving measurable improvements in patient outcomes and system performance.
Let’s Get Started.
info@pivotpartnerships.org
(520) 405-2029
Monday through Friday 8a to 8p (Eastern)