13point1

Company overview

13point1 Advisors is a boutique management and strategy consulting firm specializing in Payment Integrity and Claims Processing — two functions that sit at the intersection of healthcare cost management, regulatory compliance, and operational performance. For health plans, third-party administrators, and the vendors that serve them, Payment Integrity is the discipline of ensuring every claim is paid correctly — the right amount, to the right provider, for the right service. It sounds straightforward, but the ecosystem is anything but. It spans dozens of technology vendors, complex regulatory requirements, and workflows that touch nearly every department in a payer organization. What makes us different is focus and perspective. The large consulting firms treat Payment Integrity as a line item inside broader engagements. Niche vendors sell point solutions. We operate in the space between — bringing enterprise-level strategic thinking with the operational depth to actually execute. Our team has led PI programs, built vendor strategies, designed operating models, and managed large-scale implementations from the inside. We don't advise from a distance; we embed with our clients and solve problems alongside them. We work with organizations navigating vendor consolidation, program standup, performance optimization, and strategic planning — helping leadership teams make better decisions in a space where the financial stakes are significant and the margin for error is thin.