Healthcare Strategy Consulting

Where strategy
meets the work
of real change.

I help health systems, payers, health tech companies, and private equity navigate value-based care, optimize operations, and turn complex healthcare environments into measurable outcomes.

Book a Discovery Call Explore Services
I work with
Health Systems & IDNs
VBC strategy, risk contract optimization, population health, and clinical-operational alignment for integrated delivery networks.
Payers & Health Plans
Advanced payment model design, network performance, episodic care programs, and cost-quality improvement initiatives.
Health Tech & SaaS Companies
Go-to-market strategy, client success, product-market fit, and enterprise implementation for digital health businesses.
Private Equity & Investors
Due diligence, operational assessments, value creation strategy, and post-acquisition healthcare optimization.
Results That Speak
A track record of outcomes,
not just recommendations.
$56M+
Shared savings delivered through MSSP ACO management and 20+ risk contracts across a $10B+ health system
$100M
Joint venture investment secured after repairing a critical client relationship — plus a six-year contract extension
$285M
Annual healthcare spend overseen during BPCI program implementation across the Florida market
400%+
Revenue growth achieved building a health tech market from the ground up through strategic practice development
What I Do
Services designed for
the complexity of healthcare.

Every engagement is tailored. I bring 15+ years of on-the-ground experience to your specific challenge, your market, and your stakeholders.

01

Value-Based Care Strategy & Execution

From contract design to performance optimization. MSSP ACO management, bundled payment programs, episodic care design, CMS oncology frameworks, and risk contract negotiation and oversight.

MSSP ACOBPCIRisk ContractsCMS Programs
02

Care Continuum & Network Optimization

Designing and optimizing care delivery across the full continuum — acute through post-acute — to reduce waste, improve quality, and hit episode cost targets. Specialty depth in post-acute, orthopedics, and oncology.

Post-Acute StrategyProvider NetworksSNF Optimization
03

Population Health & Analytics

Translating claims data, real-time clinical data, and operational KPIs into actionable strategy. Analytics frameworks that help C-suites decide faster and help providers change behavior on the ground.

Healthcare AnalyticsPopulation HealthTableau
04

Health Tech Go-to-Market & Client Success

For digital health and SaaS companies scaling in the provider and payer market. Product-market fit, enterprise client relationships, implementation playbooks, and retention strategy.

GTM StrategySaaS ImplementationClient Retention
05

Payer–Provider Alignment

Bridging payer and provider — aligning incentives, improving contract performance, and building operational infrastructure that sustains high-performance relationships. Experience with HCSC, Humana, WellCare/Centene.

Payer StrategyContract OptimizationQuality Improvement
06

Operational Transformation & PE Advisory

For private equity and healthcare investors: operational due diligence, value creation roadmaps, and post-acquisition strategy. An operator's eye, not just a consultant's.

Due DiligenceValue CreationChange Management
How I Work
An operator's approach
to consulting.

I've held the roles on the other side of the table. Every engagement follows a clear, collaborative process built on real-world experience.

01
Diagnose
Deep discovery to understand your environment, stakeholders, contracts, and the gap between where you are and where you need to be.
02
Design
A tailored strategy built around your specific market, payer mix, network, and organizational capacity — not a template.
03
Execute
Hands-on implementation support — from stakeholder engagement and analytics to provider coaching and workflow redesign.
04
Sustain
Building the internal capability and accountability systems so performance holds long after the engagement ends.
Experience
Trusted by organizations
across the ecosystem.

From national payers to integrated delivery systems to health tech startups — I've worked across every corner of the healthcare market, building relationships and results at the executive level.

Specialty Focus Areas
Post-Acute Care Orthopedics Oncology Primary Care / Medicare Episodic Care Programs
HCSC
National Payer
Humana
National Payer
WellCare / Centene
National Payer
Trinity Health System
Integrated Delivery System
Team Health
Provider Organization
Large IPAs
Physician Networks
Navvis Healthcare
Health Tech / Advisory
Enlace Health
Value-Based Care Tech
Lauren McCarthy — Healthcare Strategy Consultant
15+
Years in Healthcare
About
An operator who
became a strategist.

I've spent 15+ years inside healthcare — not advising from a distance. I've managed payer relationships, rebuilt broken client accounts, overseen $285M programs, and built provider networks from scratch. When I work with your organization, I'm not theorizing. I know what the other side of the table looks like.

My work spans health systems, national payers, health tech companies, and physician organizations — always at the intersection of strategy, operations, and clinical reality. Based in Miami, FL. Available nationally.

$56M+
Shared savings in a single engagement
3.96
MBA GPA, Healthcare Management, FIU
6+
Professional certifications
AI
AI in Healthcare certified, 2025
Certifications
AI in Healthcare2025
Agile Leader Certified2023
Scrum Master Certified2023
Lean Six Sigma Green Belt2019
Visual Analytics — Tableau2019
PMPIn Progress
Schedule Time

Book a free
discovery call.

30 minutes. No pitch, no pressure. Just a focused conversation about your challenges and whether I'm the right person to help.

On the call we'll cover:

  • → Your current challenges and goals
  • → Where I've solved similar problems
  • → What an engagement might look like
  • → Next steps if it's a fit
Get in Touch
Prefer to send
a message?
Email
LaurenMcCarthy81@gmail.com
Phone
305.761.9626
LinkedIn
linkedin.com/in/laurenmccarthy227
Location
Miami, FL  ·  Available Nationally
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