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Rex Wallace Consulting, Llc

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Market Research Report on Rex Wallace Consulting, LLC



Overview and Mission



Rex Wallace Consulting, LLC (RWC) is a Houston, Texas-based consultancy firm founded in 2016. The firm focuses on improving the quality and operations of health plans with a strong emphasis on Medicare Advantage plans. RWC aims to help health plans enhance their Star Ratings, engage with members and providers more effectively, and boost overall quality performance. The firm leverages extensive industry expertise to foster effective collaboration within health plans’ cross-functional organizations, ultimately leading to improved member experiences.

Key Areas of Focus


  • Improving Star Ratings: Specializing in elevating Medicare Star Ratings to enhance performance and quality.

  • Member & Provider Engagement: Building stronger relationships with members and providers to achieve better health outcomes and increased satisfaction.

  • Operational Excellence: Emphasizing robust administrative measures for seamless operations.

  • Employee Engagement and Cross-Functional Collaboration: Fostering effective internal collaboration to achieve consistently high-quality standards.


Leadership and Key Personnel



Rex Wallace (Principal)


Rex Wallace leads the company with over a decade of experience in consulting and leadership roles in Medicare Advantage plans. Achievements include guiding plans to a full-Star increase within a year and serving as a senior advisor to McKinsey & Company. Rex also hosts the Rising Stars Podcast, where he interviews industry leaders to share insights on Star Ratings and quality improvement.

Nate Lucena (Chief Strategy Officer)


Nate holds Master’s degrees in Experimental Psychology and Cognitive Neuroscience/Aging. His background includes quality analytics, strategy, and vendor management. At RWC, Nate drives data-driven strategies to elevate healthcare quality and is recognized for thought leadership in health equity and quality improvement.

Jessica Muratore (Senior Consultant)


Jessica has a Master’s degree in Public Administration and a background in legal and managed care roles. She has led market performance, strategy, and government audits, contributing extensively to RWC’s success in accreditation and quality improvement strategies.

Luis Cerda (Consultant)


Luis holds a Master’s degree in Economics and has a decade of experience in the Medicare Star Ratings Program. His previous roles at Cigna and MCS in Puerto Rico include significant improvements in Star Ratings across various markets.

Ryan Bernstein (Consultant)


Ryan possesses a Master’s degree in Public Health and has five years’ experience in Medicare Star Ratings support. He leverages data for decision-making aimed at protecting vulnerable populations and improving healthcare outcomes.

Company Growth and Financial Information


RWC has experienced notable growth, expanding its team and increasing its impact in the healthcare consulting space. As per the latest data, RWC employs eight individuals with a six-month growth rate of 33.3% and a one-year growth rate of 66.7%.

Strategic Partnerships and Client Collaborations


Recent Partnerships


  • Ushur: Leveraging AI and automation for health plan quality improvement.

  • Predict Health: Integrating digital engagement solutions in healthcare quality improvement efforts.


Recent Highlights and Industry Contributions


  • Health Plan Solutions: Collaboration with Ushur and Decision Point on AI and automation solutions for health plans.

  • Expert Insights and Thought Leadership: Frequent sharing of expert analyses and strategic insights through the Rising Stars Podcast, webinars, and industry conferences.


For more detailed insights and the latest updates, visit [Rex Wallace Consulting's official website](http://www.rexwallaceconsulting.com/) or their [LinkedIn page](https://www.linkedin.com/company/rex-wallace-consulting-llc).



Competitor Profiling for Rex Wallace Consulting, LLC



Quality First Healthcare Consulting, Inc. (QFHC)



Overview


Quality First Healthcare Consulting, Inc., established in 2001 and headquartered in Winter Park, Florida, specializes in a wide array of healthcare management consulting services aimed at achieving sustainable results.


  • Location: Winter Park, Florida

  • Phone: (321) 972-2272


Key Focus Areas


1. Operations Management: Assisting healthcare organizations in redesigning systems and processes to improve efficiency.
2. Compliance: Ensuring that healthcare organizations meet regulatory requirements.
3. Quality Management: Helping clients achieve superior performance in quality measures.
4. Population Health: Improving population health outcomes through better care coordination.

Notable Achievements


  • Recognized in the Top 40 Key Players for Healthcare Consulting by various industry reports.

  • Strong emphasis on compliance and operational effectiveness for clients.


Avalere Health



Overview


Avalere Health, founded in 2001, is a leading healthcare consulting firm headquartered in Washington, DC, known for its expertise in improving healthcare outcomes through data-driven insights and strategy.


  • Phone: (202) 207-1300


Key Focus Areas


1. Health Plan Strategy: Assisting health plans in risk evaluation, optimizing provider partnerships, and market expansion.
2. Financial Performance: Improving financial performance through risk score accuracy and quality metrics.
3. Compliance & Operational Effectiveness: Ensuring organizational compliance while transforming operations.

Notable Achievements


  • Known for transforming client operations while maintaining compliance.

  • Expertise in Medicare Advantage and commercial health programs, significantly impacting strategic planning and financial outcomes.


ClearView Healthcare Partners



Overview


Founded in 2007, ClearView Healthcare Partners is a global strategy consulting firm focused on the life science sector, headquartered in Boston, Massachusetts.



Key Focus Areas


1. Pharma and Biotech: Supporting strategic decision-making in pharmaceuticals and biotechnology.
2. MedTech & Diagnostics: Navigating complex medical technology and diagnostic markets.
3. Market Access: Pricing and market access to optimize product value.

Notable Achievements


  • Extensive global experience supporting growth at various levels.

  • Recently expanded European presence, strengthening international capabilities.


Freed Associates



Overview


Freed Associates, established over 30 years ago, is a California-based consulting firm specializing in healthcare.



Key Focus Areas


1. Operations Consulting: Driving operational improvements in healthcare organizations.
2. Strategy Consulting: Aligning strategic planning with healthcare industry trends.
3. Compliance: Comprehensive consulting to ensure regulatory compliance.

Notable Achievements


  • Known for cost-effective and efficient consulting solutions.

  • Significant impacts in regulatory compliance and revenue cycle consulting.




Actionable Insights


  • Rex Wallace Consulting, LLC should leverage its expertise in Medicare Advantage Star Ratings to attract new clients looking to improve their quality metrics.

  • Expanding service offerings to include comprehensive compliance and regulatory consulting could position RWC as a full-service healthcare consulting provider.

  • Considering the success of competitors like QFHC and Avalere Health in maintaining continuous compliance and operational effectiveness, RWC could explore similar services for a competitive edge.

  • Developing partnerships with technology firms could help RWC innovate service delivery, providing additional value through data-driven insights and advanced analytics.