WCJ Consulting
Delivering Practical Solutions for the Interconnected Healthcare Space

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onventional healthcare consulting follows a theoretical approach to address specific aspects of the vast healthcare sector. It often lacks an in-depth understanding of healthcare operations, care delivery and funding mechanisms, and their interconnected aspects. A change in one area can have significant consequences in another, ultimately leading to financial, regulatory, operational challenges, or a general resistance to necessary innovation or change.
WCJ Consulting, a specialized healthcare consulting company, goes beyond the theoretical approach and employs a novel, practical one that leverages a deep understanding of the cause-and-effect dynamics within the healthcare sector.

It offers tailored, multifaceted, and realistic solutions for diverse healthcare challenges that include managing an aging population and assuring healthcare accessibility. Its consulting services take interconnectivity into consideration to help address barriers to adopting advanced technology and implementing novel, cost-effective and compliant healthcare funding models.

“We bring a profound understanding of the healthcare sector to effectively manage risks and overcome resistance or obstacles that may arise from hospitals, doctors, insurance companies, or government bodies while implementing necessary changes,” says Adam Longshaw, director of strategy and planning at WCJ Consulting.

It leverages over two decades of industry experience in private and public healthcare and key relationships across government agencies, hospital purchasing teams, and other consulting firms, bringing a unique perspective to navigating transitions in the healthcare sector. Its comprehensive service offerings encompass strategic planning, business case development, data management, regulatory engagement, payment integrity, health provision, and network design.

WCJ Consulting’s highly experienced team of product designers, data scientists, and automation and contracting specialists plays a vital role in transforming the healthcare industry. Its expertise in designing healthcare services, funding models, and network structures across hospitals, general treatment centers, insurers and regulators equips it to deliver its services in a fast and streamlined manner.

For countries to sustainably meet the growing demand for healthcare services while adhering to existing cost structures, WCJ Consulting builds healthcare funding models that optimize previously allocated funds in a more cost-effective manner. This enables the delivery of healthcare services in more innovative settings to a larger population while limiting inflationary aspects.

Clients are provided with guidance on the financial ramifications and essential risk management strategies to help them upskill their staff and develop requisite skills for achieving long-term success in their healthcare projects.

WCJ’s expertise in delivering practical solutions is best showcased in an engagement with a healthcare service provider that struggled to persuade more insurance companies to adopt their e-commerce solution. It helped them rewrite terms and conditions to align with insurers’ requirements. By leveraging its extensive provider network, it increased the adoption rate from 60 to 80 percent, something that reduced administration costs and increased the cash flow, while reducing bad debts for the health care provider.

The multi-faceted outcome resulted in an increase in clients, new revenue sources, streamlining of the claims process for consumers, and reduced manual processing in front-office operations for insurers. All of this contributed to an enhanced customer experience for the e-commerce solutions’ end users.

In another instance, it collaborated with an Australian healthcare industry regulator responsible for overseeing funds allocation. The client was seeking a more structured assessment to help evaluate the claims management process linked to health care purchasing effectiveness.

In response, WCJ Consulting developed a template to evaluate insurers’ operating rhythm, structures, and risk management practices. This transformative method also enabled evidence to the regulator to ensure that the payments to healthcare providers aligned with the insurers’ strategic objectives and cost forecasting or pricing assumptions. It significantly enhanced both internal and external monitoring reducing risk for all parties.

Building on its wide-ranging experience in the healthcare industry, WCJ Consulting’s long-standing presence and involvement has helped shape effective healthcare funding and care delivery models. It stands tall as a reliable consulting partner for clients in pursuit of a comprehensive understanding of the highly regulated healthcare sector and distinctive perspectives for efficiently navigating the industry’s complexities.