ϲ

Artificial Intelligence (AI) Consulting Services

ϲ provides end-to-end AI consulting services for health and human services organizations.

ϲ works with state and local government health and human services agencies including Medicaid agencies, health plans, providers, and healthcare technology leaders to develop and implement practical AI strategies that improve operational performance, workforce productivity, member and patient experience, and financial outcomes. Our team provides end-to-end support across AI strategy, AI solution implementation, AI governance, vendor evaluation, workforce transformation, responsible AI and regulatory compliance.  ϲ helps clients accelerate their move from experimentation to measurable business value and improved performance and goal attainment. 

ϲ meets clients where they are in their AI planning and adoption journeys by providing trusted, independent advice and support. Our comprehensiveAI Consulting Servicesmethodologyand toolset is based on disciplined assessment,actionplan development andrefinement, andimplementationadvice and support. We partner with clients to integrate AI into operations to improve efficiency,decision‑making, and outcomes while ensuring compliance, transparency, and public trust. Our AIconsultingservices are tailored to address the unique challenges in the healthand humanservicessector, with the goal ofhelpingclientsimplement AI solutions that are scalable, compliant, transparent, and sustainable.

Unlike general technology consultancies, ϲ combines deep healthand human servicesoperationalexpertisewith AI and IT advisoryand implementation supportcapabilities. Our consultants have ledhealth and human services agencies and programs,health plans, provider organizations,ITinitiativesand large-scalebusinesstransformation efforts.As such, we are particularly well equipped tohelpclientsidentifyand prioritizeAI use cases, assess organizational readiness, establish governance and risk management frameworks, evaluate technology vendors, and implement solutions thatcan driveperformance improvement while ensuring compliance with all applicablerequirements.

Our approach to AI consulting services is grounded in the CMS Health IT Ecosystem, aligned with federal health and human services IT and interoperability requirements, and incorporates the NIST AI Risk Management Framework.   

AI Procurement & Vendor Selection

  • Independent Evaluation:Objective, vendor-neutral analysis of third-party AI software, platforms, and models.
  • Procurement & Contracting:Drafting AI-specific RFPs, technical requirements, SLA definitions, and liability frameworks.
  • AI Architecture & Data Readiness:Assessing existing data pipelines, EHR integrations, and workflow maturity before deployment.

Governance, Compliance & Public Trust

  • ONC & CMS Alignment:Mapping AI deployment to federal Health IT standards, HHS guidance, and CMS regulations.
  • Bias & Equity Auditing:Evaluating algorithmic models for clinical bias, disparate impacts, and population health equity.
  • Risk Mitigation & Ethics:Establishinginternal AI governance structures, oversight committees, and defensibility models.

Operational Impact & Project Rescue

  • AI Adoption Diagnostics:Auditing and course-correcting underperforming orchallengedhealthcare AI rollouts.
  • KPI & ROI Measurement:Defining clear metrics for administrative efficiency, clinical decision support, and cost reduction.
  • Workforce Readiness:Designing change management and training strategies for frontline care and administrative staff.

We’ve helped clients:

  • Develop AI strategies andaction plans:Transition AI from concept to deployable capability by aligning executive leadership, securing decision-grade data,creating workflowautomationand designing ROI-drivenaction plans.
  • Establish AI governance frameworks– Design and operationalizegovernance structures that ensure safe, consistent, and accountable AI deployment across healthand human servicesorganizations, including oversight, controls, and lifecycle management.
  • Prioritize High-Impact Use Cases:Help clientsfocuswhere it matters most.Identify,validate, and sequenceAIinitiativesbased on operational value, feasibility,and time-to-impact, with a focus oninitiatives withmeaningful,quantifiable benefits.
  • SupportAIpolicy, regulatory alignment, and compliance:Help clients deployAI with confidence,ensure AI deployment is fully alignedwithlegaland regulatorymandates,and engage client stakeholders to ensure transparency and buildtrust.

Turn AI Potential Into Real‑World Impact

AI can transform health and human services—but only whenit’simplemented responsibly and aligned with real workflows.

Schedule a conversation with our AI consulting team

ClientsWe Support with AI Consulting

ϲ provides AI consulting services tailored to the operational, regulatory, and financial realities of different healthand human servicesstakeholders, helping organizations apply AI where it drives measurable improvements in cost, efficiency, access, and quality.

  • Health plans, behavioral health organizations, and FQHCs seeking AI-driven operational efficiency– We support AI-enabled transformation across prior authorization automation, care management optimization, clinical documentation improvement (CDI), contact center automation, member engagement, and revenue cycle optimizationwhich helpreduce administrative burden, accelerate authorization turnaround times, improve documentation quality, enhance member experience, and improve financial performance.
  • Rural and resource-constrained healthcare providers seeking AI to expand access and improve productivity– We help organizations implement AI-enabled workflow optimization, telehealth enablement, and EHR and administrative automation that reduce documentation and administrative burden, improve care coordination, accelerate patient access, and increase workforce productivity in staffing-limited environments.
  • Stateand localHHS agencies seeking AI-poweredprogram modernization– We supportprogram modernizationacross eligibility and enrollment,service management, provider payment,fraud detection and program integrity,program performance analytics andreporting, and other critical functions with the goalofreducingmanual processing, improvinganalytics and reportingaccuracy,loweradministrative costs at scale, and ensure beneficiaries receive the services they need when they need them.
  • ACA marketplaces seeking AI-enabled eligibility and enrollment transformation– Wehelp marketplace clientsmodernize eligibility systems, enrollment workflows, and contact center operations using AI and analytics to reduce call volumes through automation, improve data accuracy, speed eligibility determinations, improve member experience, and lower administrative costs.
  • Health information exchanges (HIEs) and health data organizations (HDOs) seeking interoperability and AI-enabled data governance– Wehelp HIEs/HDOs design and deploy more valuable solutions thatstrengthen data exchangeandinteroperability and enable more efficient cross-system care coordination and analytics.
  • Financial sponsors seeking healthcare AI value creation and operational due diligence– We evaluateand work with suppliers of health and human services AI solutionswith the goal ofinforming investment decisions, marketing strategies, and IT solution roadmaps.

What Sets ϲ Apart

We are a health and human services consulting firm first. 

Making high‑stakes AI decisions is challenging enough without having to explain your organization’s business to advisors. Health and human services organizations operate in one of the most complex, regulated, and mission‑driven environments in the country. Effective AI guidance has to start from that reality, not from a generic technology framework retrofitted to healthcare. 

Why chooseϲfor AI adoption rather than a technologyconsulting firm?

Health and human servicesoperatewithin unique regulatory and mission-driven constraints. ϲ is an HHS consultingfirmfirst. WeprovideAI guidance rooted in the operational realities ofHHS programs,private payers,providersand vendors, ensuring solutions areimpactful andcompliant from day one.

How does ϲ manage the full enterprise AI implementation lifecycle and change management?

We provide “end-to-end”advisory andsupportservices, meaning the same experts who develop your strategy stay through implementation,evaluationand rapid-cycle improvement. Our services cover everything from executive AI education and action plan development to procurement, vendor selection, and continuous quality improvement.

How does ϲ mitigate algorithmic bias, data privacy risks, and unintended consequences in healthcare AI models?

Weleveragea deep understanding of the entireHHSecosystem—including the impactsthat technology may haveon providers, payers, and regulators. Byanticipatinghow AI changes affect different stakeholders, wecan help clients implement AIaction plans thatensure transparency, defensibility, and public trust.

Can AI help with Fraud, Waste, and Abuse (FWA) initiatives?

Yes. ϲ expertsleveragemachine learning and generative AI to transform healthcare FWA initiatives. ϲ Principal Arun Natarajan led the implementation of over 30 predictive models for the IRS, shifting the agency to real-time AI detection thatidentifiedover$10 billionin financial crimes. Our teamcanapplythese exact machine learningmethodologies toidentifyimproper paymentsandbilling anomaliesandoptimizeprovider payment managementwithin Medicaid and Medicare Advantage programs.

What technical dataexpertise, actuarial science, and analytics capabilitiesdoesϲ bring to AI rollouts?

Beyond AI strategy, wecanintegrate population health analytics, actuarial science, and business intelligence system design. This multidisciplinary approach helps organizations maximize ROI by aligning AI with workflowand revenueoptimization.

If you are preparing to procure or implement AI solutions, responding to federal guidance on AI adoption and use, or reassessing a challenging AI project, ϲ can help.

Talk with ϲ about your AI priorities

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