top of page
The company logo for Zenovate, a research and strategy consulting firm
Green Bubbles_edited.jpg

Payers

Zenovate’s principals have 20+ years partnering with payers to better understand the rapidly evolving health care and benefits market. We provide payers with the analytics, strategy support, and market intelligence they need navigate uncertainty, outperform competitors, and achieve sustainable growth.

Our Experience with Payers

Our principals have direct experience working with over 50 health plans, including Aetna, Cigna, Elevance, Humana, UHG; 12 Blues plans, the Blues Association, and Consortium Health Plans; and a variety of private plans, provider-sponsored plans, and TPAs.

We've partnered with clients to better understand a wide range of topics, including:

  • Ancillary / voluntary benefits

  • Ben admin platforms

  • Bundled offerings

  • Care / case / disease mgt.

  • Concierge services

  • Defined contribution

  • Digital / home health

  • Genetic testing

  • Health-risk assessments

  • Incentives / rewards

  • Individual market planning

  • Member engagement

  • Member finance tools

  • Member portal tools / preferences

  • New entrants / startups

  • Payment integrity

  • Plan design

  • Private and Public exchanges

  • Provider partnerships

  • Reference-based pricing

  • Retail stores

  • Surgical centers of excellence

  • Tiered network design

  • Tiered pharmacy networks

  • Telehealth / telemedicine

  • TPA offerings

  • Transparency tools / cost estimators

  • Value-based benefits

  • Value-based payment

  • Wellness programs

How We Help Payers

Market & Competitor Assessments
Zenovate’s structured research and proprietary methodologies provide payers with the foundation they need to build and refine their strategies. Secondary research outputs include market size and segmentation, market trends, regulatory scan, competitor profiles. Primary research, including interviews with channel partners, employers, members or vendors can provide additional insights.

Go-to-Market Support
All payers want to grow share in their priority segments – Zenovate’s go-to-market support provides them with the research and analysis they need to achieve their objectives.

  • Market Prioritization: Zenovate provides the total market size along with a breakdown of segments, then works with clients to evaluate where they are best positioned to compete and how they should deploy limited resources to achieve their growth objectives

  • Value Propositions by Segment: Zenovate helps clients refine their value propositions through primary research with their target markets, whether its qualitative findings from interviews with of employers or channel partners or quantitative findings from an online survey

  • Sales and Marketing Plans: Zenovate partners with payers to evaluate how to deploy limited sales and marketing resources to make the biggest impact

Innovation / White Spaces
Payers who want to grow revenue have a wide range options available to them – from adding offerings that grow share of wallet to entering new geographies where they are well positioned to compete. Zenovate partners with clients to help them define, evaluate and prioritize growth opportunities.

Scenario Planning
​Zenovate helps payers build strategies that are responsive ton both expected future developments in the healthcare landscape and possible changes to regulatory, political, and economic environments. Our research helps define possible future landscape – and then collaborate with leadership to develop responses that ensure a successful path forward.

Additional Project Topics

Strategy

How can you design your business to grow faster than your competitors? We partner with you to assess your current market position and identify recommended changes to achieve your growth targets.

  • Market Assessment

  • Customer Assessment

  • Internal Assessment

Go-to-Market Strategy

Are  your limited sales and marketing resources strategically deployed to meet your growth objectives? Our go-to-market framework will assess your current plan, pinpoint opportunities for improvement, and ensure that your sales and marketing efforts are fully aligned to meet your growth targets.

  • Market size & share

  • Market segmentation

  • Segment-specific value prop

  • Sales and marketing plan

Technology & Digital

Do you know how emerging technologies will impact your market and your customers? Our structured research will equip you with the insights needed to navigate and adapt to an evolving digital landscape.

  • Emerging technologies / capabilities

  • Customer experience / journey mapping

Innovation

When was the last time you conducted a focused analysis to uncover new growth opportunities? This analysis is focused on identifying and prioritizing strategic alternatives that could further drive your growth.

  • Customer needs assessment (jobs to be done)

  • Competitor and market analysis

  • White spaces analysis

Customer Experience

Are you delivering a consistent experience that builds lasting customer loyalty? Our comprehensive analysis will help align your resources to meet your customers' top priorities.

  • Customer needs / requirements

  • Journey mapping

  • Customer acquisition / retention

  • Customer feedback / continuous improvement

Strategic Planning

Does your leadership team have capacity for deliberate quarterly or annual planning? Our planning frameworks will identify, document, and prioritize initiatives for individual teams or the broader organization -- and help you understand tradeoffs in the event you need to pivot.

  • Vision, objectives, and strategic initiatives

  • Performance measures

  • Internal communication / coordination

Mergers & Acquisitions

Do you need to add new capabilities or enter new markets? The first step is to conduct thorough research to understand the relevant players and strategic options available to you.

  • Buy, build, partner analysis

  • Target identification

  • Capabilities assessment

Sales & Marketing

Do your value propositions and pricing resonate with the market? We team with you to refine your current approach, ensuring your messaging resonates with each of your target segments.

  • Product & portfolio management

  • Pricing optimization

  • Market expansion

  • Customer segmentation

Market & Competitor Assessment

When was the last time you conducted a thorough analysis of your market, including both direct and indirect competitors? We assess the market in order to identify trend and evaluate threats and opportunities to your business.

  • Addressable, accessible market size

  • Value chain

  • Competitor landscape

  • Strategic responses (e.g., buy, build, partner)

Need help with a project?

Wether you're looking for a response to an RFP or have some other need, we are always open to new conversation.

  • Introductions

  • Request for Proposal

  • Brainstorming / Problem Solving

bottom of page