Consultancy

Casemix expertise, applied to your health system.

From national schemes to single hospitals, we help you classify, cost and fund care with confidence.

Book a consultation See how we work
Consultants working with a hospital team
Ministries & insurersHospital groupsSingle hospitals
Trusted by leading hospitals and national schemes
Who we work with

Every part of the health system.

Whether you set policy, pay for care or deliver it, Casemix gives you a shared, fair language for clinical activity and cost.

Ministries & governments

National Casemix policy, grouper adoption and payment reform for health systems.

  • National rollout
  • Policy advice
  • Tariff setting
01

Payers & insurers

Fair, transparent reimbursement based on case complexity, not fee-for-service.

  • Prospective payment
  • Claims analytics
  • Benchmarking
02

Hospitals & providers

Coding, costing and performance tools that improve budgeting and quality of care.

  • Coding audits
  • Case costing
  • Performance KPIs
03
In the field

Side by side with your team.

Our consultants work on site and online with clinicians, coders, finance and IT, from the first workshop to go-live.

Workshops

Hands-on sessions that build your team's Casemix capability.

21+
years
Data & analytics
Every engagement

Clear phases, clear outcomes.

DiscoverAssessDesignImplementSupport
PartnershipLong-term support, not one-off advice
On siteInside hospitals, alongside your staff
Evidence-basedRecommendations grounded in your data
What we do

Six ways we move you forward.

Hover a card to see what you get. Mix and match into a single engagement.

01

System assessment

A clear view of where your health system or hospital stands today.

What you get
What you get

System assessment

  • Healthcare system assessment and analysis
  • Data and coding readiness review
  • Gap analysis and priorities
02

Implementation strategy

A practical roadmap to adopt Casemix, from pilot to full rollout.

What you get
What you get

Implementation strategy

  • Casemix implementation strategy
  • Custom system configuration and setup
  • Integration with existing hospital IT
  • Change management and training plan
03

Clinical costing

Know the true cost of every case and group.

What you get
What you get

Clinical costing

  • Cost per case and per group
  • Resource allocation analysis
  • Budget forecasting and planning
04

Coding & data quality audits

Accurate, consistent clinical data you can trust.

What you get
What you get

Coding & data quality audits

  • Clinical coding accuracy monitoring
  • Data validation and cleansing
  • Quality improvement recommendations
05

Provider payment design

Prospective payment built on case complexity.

What you get
What you get

Provider payment design

  • Casemix-based payment models
  • Tariff simulation
  • Transparent reimbursement rules
06

Benchmarking & performance

Compare fairly and find what to improve.

What you get
What you get

Benchmarking & performance

  • Case-mix adjusted benchmarking
  • Efficiency and quality metrics
  • Executive dashboards and reports
How we work

A clear path, from first call to go-live.

Five stages, each with a defined outcome, so you always know where the project stands.

01

Discover

We learn your goals, system and constraints.

→ Kick-off brief
02

Assess

We review your data, coding and current processes.

→ Assessment report
03

Design

We shape the grouper, costing and payment approach.

→ Implementation plan
04

Implement

We configure, integrate and pilot with your team.

→ Live system
05

Train & support

We train your people and stay on hand.

→ Ongoing support
Proven at national scale
2,500+

healthcare providers under Indonesia's national health insurance.

Our Casemix implementation supports one of the largest national health insurance schemes in the world, and the same expertise serves leading Malaysian hospitals including KPJ, IJN, HUKM, Hospital USM and UMMC.

21+Years of Casemix expertise
15+Countries served
WHO& World Bank advisory experience
MY-DRG®& UNU-CBG® pioneers
Why Casemix Solutions

Advice that comes with the tools to deliver it.

01

Research-led

Built on two decades of Casemix research and real-world implementation.

02

One complete team

Consulting, software and training from one partner, with no hand-offs.

03

Proven at scale

From single hospitals to a national scheme covering 2,500+ providers.

04

Training included

HRD Corp claimable programmes so your team owns the system.

FAQ

Questions, answered.

Can't find what you're looking for? Our consultants are happy to help.

Ask a question

It depends on the size of the hospital or health system and the scope of the work. A single hospital usually moves faster than a multi-site group or a national rollout. After the discovery stage we give you a clear timeline for each phase.

Yes. We have supported health systems in more than 15 countries, including Indonesia's national health insurance scheme covering 2,500+ healthcare providers.

No. Our consultancy stands on its own, and we work with the systems you already have. Many clients choose to pair it with our MY-DRG® groupers and costing tools for a faster rollout.

Yes. Our Grouper API lets your HIS group episodes directly with a secure API key, so your staff don't need to use our web app. Integration with your data sources is part of our implementation work.

Training is built into every engagement so your team can run the system with confidence. Our programmes are HRD Corp claimable for Malaysian employers.

Book a consultation. We start with a short discovery call to understand your goals, then propose the right scope and next steps.