Innovative Strategies for Payers & Solution Providers
Getting to the Right Answers for Members, Payers & Providers
Innovative Strategies for Payers & Solution Providers
Getting to the Right Answers for Members, Payers & Providers
Welcome to Union Street!
You've likely come here because you're struggling to find the right specialized care management solutions or how to connect for truly meaningful discussions with decision-makers in the payer space. If so, you've come to the right place!
What We Do
Moving From Chaos to Smart, Structured Solutions
We get to the right answers...for payers & solution providers, alike.
There are SO many companies in the health care space, on both sides of the fence. We use our decades of experience, gained in insurance, managed care & solution-side environments to lower the noise & align payers & service suppliers for enhanced value propositions.
From situation analysis, product development & channel-specific strategies, through sales strategy & execution, we can partner with you to engender success!
For Payers
Whether you're a health plan (Commercial, Medicare Advantage, Medicaid or mixed model), an ACO or other risk-bearing entity, you need specialized solutions for managing multiple high-cost & complex medical conditions. No one solution vendor supplies everything. So, where do you start? How do you sort through the myriad of solutions knocking at your door?
You need an insider perspective to help you evaluate, select and coordinate the selection & interaction of solutions.
From sourcing, RFP development, comparative evaluation & contract negotiation, Union Street is ready, willing and able to help!
For Solution Providers
We've worked for years as health plan executives, consultants & outsourced solution providers. From pharmacy benefits management, chiropractic, acupuncture, PT/OT, orthopedics, spine & pain management, retail/specialty pharmacy, network provider organization, cardiology, oncology, wound care & mental health/chemical dependency, we know how to build & position winning products/value propositions.
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About Union Street
Our Founder & Managing Partner
Guy Shields is seasoned senior executive, with over twenty-five years of diverse experience in consulting, general management, sales leadership, planning, marketing & operations, gained in small & large healthcare and supply-side companies (start-up and mature organizations). He possesses expert financial, analytical and decision-making skills; is knowledgeable in healthcare finance, network contracting, medical reimbursement, sales/marketing management, product development & value chain management/development; and is a proven and skilled negotiator.
Guy is a holder of robust & current relationships with senior medical, clinical and operations leadership in many of America’s leading healthcare organizations.
Specialties: Sales process development & leadership, business & product development, healthcare economics, P/L management, sales team/organizational development, training & education.
Our Approach
Our service starts with a comprehensive consult to help identify pain points, gaps & opportunities.
For payers, we work with your team to identify a go-to-market strategy for identification of the best possible potential solution providers. We then design & manage an RFP process that compares solutions on their respective critical elements, merits, value, cost & projected outcomes/ROI.
For solution providers, we provide an assessment of current program features & go-to-market strategies, program/service gaps & value propositions. We use our experience on both the health plan & vendor sides of the street to prepare our clients for optimal success.
Where appropriate, we connect our payer and solution provider clients for substantive discussions & customized solution development.
Why Us?
We know and love this business...we want to shift the conversation from old-school utilization review, where care is frequently based on approval/denial of procedure requests by attending physicians, to one of positive, engaged total population management.
Proactive identification & early-onset treatment of disease results in healthier populations...saving money as a result of improving individual patient outcomes.
We connect payers & evidence-based telehealth, AI & data/informatics-driven solutions together to make individuals & populations safer & healthier.
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