Schedule a 30-minute consultation to talk through your outsourcing strategy.
Strategic Outsourcing Advisory for Healthcare
Outsourcing decisions in healthcare carry weight far beyond the contract. They shape patient experience, revenue performance, regulatory exposure, and workforce stability. Our Strategic Outsourcing Advisory practice helps hospitals, integrated delivery networks, provider groups, physician practice groups, revenue cycle management organizations, and healthcare intermediaries such as MSOs, IPAs, TPAs, PBMs and clearinghouses translate outsourced and offshored strategies into well-structured agreements and operationally sound programs, built to perform from day one and to hold up over time.
The practice is led by Audrey Cushing, Strategic Outsourcing Advisor and Vice Chairman of the Strategic Advisory Board of the International Association of Outsourcing Professionals (IAOP), whose engagements span sourcing strategy, contract structuring, governance and post-deal optimization. She is supported by the firm’s senior bench: Robyn D. Marino on healthcare and health technology transactions, Daniel D. Santos on regulatory strategy, HIPAA and data protection, and Kevin R. Brenner on complex services, technology and managed-services agreements, including SLAs, data rights, security and risk allocation.
Clients get a senior, integrated bench rather than a hand-off between unrelated specialists. Our advisory work spans the full outsourcing lifecycle: sourcing strategy, contract structuring support, governance design, service-level frameworks, transition planning, and post-deal optimization.
How We Help
Sourcing Strategy
Define the right scope, model, and provider profile for your outsourcing or offshoring initiative, grounded in business outcomes rather than cost alone.
What we deliver
A scope and model recommendation, a provider profile, and the business case that supports it.
RFP and Vendor Evaluation
Shape RFPs, score responses, and pressure-test vendor commitments so the right partner is selected for the right reasons.
What we deliver
RFP documents, a scoring model, and a clear view of what each vendor has actually committed to.
Contract Structuring Support
Build durable agreements covering scope, SLAs, pricing, data rights, security, compliance, and exit, aligned to healthcare realities.
What we deliver
Terms drafted and negotiated across scope, service levels, pricing, data rights, security, compliance and exit.
Governance Design
Stand up the operating model, committees, reporting cadence, and escalation paths that keep multi-year engagements on track.
What we deliver
An operating model, committee structure, reporting cadence and escalation paths, documented and stood up.
Transition and Implementation
Plan and oversee knowledge transfer, staffing, technology cutover, and risk controls so go-live does not disrupt operations or patients.
What we deliver
A transition plan covering knowledge transfer, staffing, technology cutover and risk controls through go-live.
Performance Management
Operationalize SLAs, KPIs, and service credits with the data and rhythms needed to hold vendors accountable.
What we deliver
Service levels and credits made enforceable, with the reporting rhythm to support them.
Issue Resolution and Renegotiation
Address underperformance, scope drift, and changes in business need through structured remediation, amendments, or renegotiation.
What we deliver
A remediation plan, an amendment, or a renegotiated agreement, depending on what the situation actually calls for.
Renewal, Recompete, or Exit
Position the organization for the best outcome at the next inflection point, whether that is renewing, going back to market, or insourcing.
What we deliver
A recommendation on renewing, recompeting or insourcing, with the timeline that decision requires.
Who We Serve
Hospitals
Single-facility and multi-facility hospitals navigating outsourced clinical support, IT, coding, billing, patient access, and back-office services.
Integrated Delivery Networks
Health systems and IDNs structuring enterprise-wide outsourcing, shared services, and managed services agreements across multiple sites of care.
Provider Groups
Physician groups, medical groups, and specialty practices outsourcing revenue cycle management, credentialing, IT, scheduling, and administrative functions.
Physician Practice Groups
Multi-site and specialty-focused physician practices outsourcing revenue cycle management, billing, credentialing, IT, scheduling, prior authorization, and back-office operations.
RCM Organizations
Revenue cycle vendors and their customers negotiating performance, data, compliance, and risk-sharing terms. RCM sits at the intersection of cash flow, compliance, technology and patient experience: commitments on clean claims, denial rates, AR days and collections move financial performance directly, and missteps are hard to unwind. We structure agreements that align incentives, protect data, and set the operational guardrails this work demands.
Healthcare Intermediaries
MSOs, IPAs, TPAs, PBMs, clearinghouses, and other intermediaries sitting between payers, providers, and patients, structuring outsourced operations, data flows, and risk arrangements that hold up commercially and under regulatory scrutiny.
Connect With Global Link Law
"*" indicates required fields