Kayman Consulting

Kayman Consulting is a healthcare advisory firm specializing in value-based care strategy and implementation. The company assembles domain experts with complementary skills across clinical network development, actuarial science, operations strategy, and healthcare policy to support organizations transitioning from volume-based to value-based care models.

The firm serves a diverse range of stakeholders including primary care and multi-specialty providers, Medicare Advantage and commercial payers, ACOs, REACH programs, CINs, MSOs, health systems, post-acute facilities, and healthcare startups. Their team of over 20 subject matter experts brings experience from leading healthcare organizations including Mass General Brigham, Centene, Optum, Johns Hopkins, and major health systems.

The consulting approach focuses on Advanced Payment Models (APMs), with expertise spanning ACO operations, risk management, quality improvement, and care management programs. The firm emphasizes personalized engagement through one-on-one intake sessions to curate tailored expert teams for specific client needs.

Kayman Consulting excels when organizations need rapid access to specialized value-based care expertise without long-term hiring commitments. The firm's strength lies in assembling the right combination of domain experts—whether actuarial, clinical, operational, or strategic—to address specific challenges in APM implementation, ACO operations, or risk arrangement optimization.

Clients can expect a personalized intake process to identify needs, followed by engagement with consultants who have direct experience in similar roles at leading healthcare organizations. The model works particularly well for organizations facing discrete strategic decisions, operational challenges, or requiring interim expertise during transitions.

Kayman Consulting operates exclusively in healthcare with complete focus on value-based care arrangements. The firm addresses the specific needs of organizations navigating Advanced Payment Models, with consultants experienced in Medicare regulations, ACO governance, HEDIS quality measures, risk adjustment, and CMS programs. Their team includes former executives from ACOs, health systems, Medicare Advantage plans, and CINs who understand the operational, financial, and clinical complexities of transitioning from fee-for-service to value-based reimbursement models.

Organizations actively participating in or preparing to enter value-based care arrangements, particularly those in Medicare Shared Savings Program, REACH ACOs, Medicare Advantage, or commercial risk contracts. Best suited for mid-sized to large provider organizations, health systems developing risk-bearing entities, regional ACOs, and well-funded healthcare startups needing strategic guidance from operators who have successfully navigated similar challenges at scale.