Playing out Scenarios

All too often businesses become paralyzed by uncertainty in the environment. With frequent shifts in potential healthcare policy, shifting interpretations of healthcare regulation, new competitive pressures, and emerging technology, the future has never been more uncertain in healthcare.

We use scenario planning to lasso this uncertainty. We describe distinct potential scenarios and the ways they may impact the industry, specific lines of business, various stakeholders, and individual participants. Then we focus on organizational impacts to potential barriers to moving forward. Our methodology helps executives to stay grounded and in motion regardless of how much the environment is shifting around them.

Unsticking the situation

Traditional approaches to strategic and operational transformation use a logic / expertise- based approach that can leave clients feeling informed but also cynical and resistant.

We use immersive visioning and scenario-based exercises to align team members around goals, risks, obstacles, and desired outcomes. This methodology accelerates and energizes change. We’re continuously refining our approach, built upon experiences across our client base and through our cross-industry forums.

Visioning the Future

Traditional one- to three-year planning works in a relatively steady environment when the future is expected to look like the past. We now see disruptive forces emerging that could dramatically shift how we pay for and access healthcare. In order to think bigger, we need to step back and envision what the future could be like. We consider potential futures in two, five, ten, and even fifteen years to make certain we are investing in where healthcare is going, and not in where it has always been.


Standalone Workshops

  • Amazon: The Everything Company + Healthcare

  • CVS/Aetna =/ CVS+Aetna : A whole new competitor in our midst

  • Social determinants of health: destination and transformation

  • Changes in the competitive or policy landscape

  • The hospital or health plan of the future

  • Fully integrated digital and geographic-based healthcare

  • Custom workshops designed to envision a change in your landscape, new product or service, technological innovation, partnership, etc.

Operational Transformation


We don’t just talk the talk… Our operational transformation services help organizations to make good on their strategic goals. Spring Street Exchange relies on healthcare careerists, with decades of experience and contacts in the industry. We believe in structured tools and approaches when tackling big infrastructure projects, but also find that we are able to accelerate alignment and action by relying on the expertise and contacts of our operational leaders.

Operational transformation projects in our bailiwick include:

  • Procurement and implementation of health plan core administration solutions and Managed Services Organizations (MSO)

  • Health plan operations assessment and diagnostics

  • Public health insurance exchange services, including billing and enrollment vendor procurement and implementation, exchange operational assessment and remediation, marketplace opportunity analysis, and QHP support.


Social Determinants of Health (SDOH)

Spring Street Exchange is dedicated to social determinants of health (SDOH) because effectively moving targeted interventions upstream will help transform the industry for the better by reducing overall cost and improving outcomes. We believe in the power of radical collaboration. We think the best way to unstick the hardest problems in healthcare is by bringing together stakeholders from across the industry.  

We’re helping our clients to define their SDOH strategy, improve their SDOH processes, establish best practices, and make the biggest impact possible. To do this, we offer:  

  • SDOH opportunity assessments  

  • SDOH strategic visioning  

  • SDOH alignment workshops  

  • SDOH live online events