Addressing healthcare challenges with proven solutions
The Lewin Group, a trusted partner to public, private and nonprofit organizations, delivers end‑to‑end support to design, implement and evaluate policies and programs that drive results.
Selected organizations we serve:
- Administration for Community Living (ACL)
- Administration for Children and Families (ACF)
- Centers for Medicare and Medicaid (CMS)
- Department of Veterans Affairs (VA)
- Food and Drug Administration (FDA)
- Medicaid and CHIP Payment and Access Commission (MACPAC)
Explore our health policy consulting solutions
Payment model design, implementation and program monitoring
Policy and data‑informed payment model design and implementation
We support the design and implementation of value‑based payment models that align policy, data, and real‑world experience to advance quality and value. Since 2011, we have supported 29 CMMI Innovation Models across Medicare and Medicaid, including accountable care, advanced primary care, episode‑based and care‑redesign models, hospital global budgets, Medicaid reform, and state‑based, rural and whole‑person care initiatives.
Technical assistance and operational support
We support coordinated payment model implementation through hands‑on technical assistance, helpdesk support and ongoing monitoring. By translating program design into operational workflows and combining claims, clinical and operational data, we address implementation challenges, support day‑to‑day operations and drive continuous improvement and sustainability.
Advanced analytics & data reporting
Actionable analytics
We translate analytic findings into clear, actionable insights. Through dashboards, reports and customized analytic products, we support informed decision‑making, rapid course correction and ongoing learning.
Advanced analytics & AI-enabled insights
Using advanced analytic methods, including AI/ML, we identify patterns, assess performance and generate insights. This supports risk identification while maintaining:
- Transparency
- Interoperability
- Alignment with federal data and governance standards
Reliable, actionable insights
We integrate claims, clinical, operational and contextual data to support:
- Policy analysis
- Payment model oversight
- Performance monitoring
Our analytic foundations emphasize rigor, reproducibility and transparency, enabling decision‑makers to inform:
- Program design
- Implementation support
- Continuous improvement across complex health care initiatives
Data-driven learning & diffusion/technical assistance
Learning system design & implementation
Our learning systems are grounded in implementation science to help participants adapt in real time and improve performance across complex health care programs.
We support continuous improvement and spread by integrating:
- Adult learning principles
- Quantitative and qualitative data
- Participant experience
- Implementation insights
Rapid cycle learning & decision-making
We identify what works best to generate actionable insights that help participants adapt and scale effective practices
Rapid cycle learning and decision-making is supported with the use of:
- Complex data
- AI-enabled analytics
- Advanced methods
Targeted technical assistance & diffusion of effective practices
Deep expertise and real‑world operational and clinical experience allows us to strengthen implementation and sustainability.
The adoption of effective practices across participants, settings and communities is accelerated through:
- Tailored guidance
- Peer exchange
- Structured supports
Program Evaluation & Modeling
We integrate rigorous evaluation and advanced modeling to assess program impact, generate policy-relevant evidence, and inform decision-making across complex health and human services programs.
Policy-relevant evaluation
- Assess program effectiveness using rigorous, mixed-methods approaches
- Integrate quantitative and qualitative data across outcomes and experience
- Generate evidence to inform policy and program decisions
Predictive & scenario modeling
- Apply advanced analytics to project outcomes and disease impact
- Evaluate cost-effectiveness and return on investment
- Support resource allocation and future program planning
Innovative, audience-centered reporting
- Translate complex findings into clear, actionable insights
- Deliver tailored products for technical and nontechnical audiences
- Provide transparent documentation and visual summaries
Interdisciplinary expertise
- Combine methodological rigor with clinical and delivery system expertise
- Embed clinical insight across the evaluation lifecycle
- Inform care delivery, quality improvement, and policy development
Health policy & research
Data integration to inform public & population health
We integrate federal, commercial and public health data sources into tailored solutions that inform public and population health decision-making across diverse clients and stakeholders.
Data management, analytics & visualization
With cutting-edge technology solutions and data science expertise, we:
- Integrate public and population health data
- Implement comprehensive data management processes
We use advanced analytical techniques to predict risk and vulnerability for health surveillance. Utilizing human-centered design principles, we develop interactive data visualizations to convey critical insights.
Evidence development & communication
We use rigorous workflows and convene subject-matter expertise to develop and synthesize scientific evidence paired with tailored dissemination strategies, including:
- Peer‑reviewed publications
- Education and training programs
Large-scale program evaluation
Innovative & audience-centered reporting
Through timely, audience-specific products, we communicate evaluation findings that synthesize key outcomes, drivers and implications.
To make complex results accessible and actionable for senior leaders and nontechnical stakeholders, we provide:
- Transparent technical documentation for expert audiences
- Clear, visually engaging summaries
Integrated mixed-methods evaluation design
We apply a rigorous mixed-methods evaluation approach grounded in each model's theory of action. This lets us:
- Integrate quantitative and qualitative data
- Assess impacts on cost, utilization, quality and patient experience
- Explain why changes occur
Interdisciplinary teams with embedded clinical expertise
Our interdisciplinary evaluation teams combine methodological rigor with real-world delivery system and clinical expertise.
Clinicians are embedded throughout the evaluation lifecycle to ensure findings are clinically meaningful and grounded in current practice, helping to inform:
- Care delivery
- Quality improvement
- Policy decisions
Rigorous, credible methods
Our rigorous, transparent evaluation framework combines robust estimation methods (including comparison groups, difference-in-differences, rich controls and sensitivity testing) with integrated quantitative and qualitative data collection.
We generate defensible, policy-relevant evidence to inform future program and policy decisions by explaining:
- Impacts
- Variation in results
- Drivers of change
Quality measure development, calculation & improvement
Accurate & transparent measure calculation
We calculate measures across administrative, clinical, and patient-reported data, including electronic clinical quality measures (ecQMs) and patient-reported outcome measures (PROMs), using interoperable, FHIR-based data pipelines and rigorous testing to support accurate, comparable results.
Our teams support large portfolios of claims-based, hybrid and outcome measures used for:
- Benchmarking
- Payment adjustment
- Performance monitoring
Measure development & specification
Rigorous quality measurement science is used to develop and refine measures that are:
- Clinically meaningful
- Operationally feasible
- Policy-relevant
Measures are designed for use across diverse care settings and populations, with strong validity, reliability and stakeholder acceptability.
Performance insight & quality improvement support
Through benchmarking, analysis of performance variation and support for quality-based payment design, we help clients use measurement not only for accountability but for continuous improvement.
Key benefits
We support the transition to value-based care through guidelines informed by quality patient experience data, and identify health factors for discrete populations.
Value-based care one-stop shop
- Design and implement payment models & quality metrics
- Launch pilots & support implementation
- Monitor performance & audit integrity
- Benchmark progress & evaluate impact
- Evaluate impact and identify drivers
Whole-person, person-centered lens
- Chronic disease, aging & disability
- Maternal, child and family health & well-being
- Behavioral health & substance use
- Complex and underserved populations (e.g., dual eligibles, rare disease, Veterans)
Quality improvement
- Quality measure development & reporting
- Evidence-based clinical practice guidance
- Learning communities & high-reliability organization
- Program integrity & monitoring
Industry insights
Report
Explore insights to advance comprehensive health care for military families and elevate VA support systems.
Report
Uncover essential insights from Veterans aimed at enhancing access to VA and comprehensive health care.
Guide
Improve continuity of care by reducing variation in practice for service members transitioning to Veteran status.
Complementary solutions
Solution suite
Behavioral Health Solutions for Military and Veterans
Optum Serve is proud to offer evidence-based behavioral health solutions that support the needs of beneficiaries and their dependents.
Service
Optum Serve Health Services
From well-being and prevention to care coordination, we help simplify how those you serve receive top-quality, reliable care.
Service
Community Care Services for Veterans
We ensure that our nation’s Veterans have access to the right care, at the right time and in the right setting.
