Reimbursement should reflect the care being delivered. We help prove where it does not, and what to do next.
HealthPulse Advisors connects payer-contract strategy, claims evidence, and reimbursement execution for hospitals, advanced-therapy programs, government agencies, and life-sciences organizations navigating complex-care economics.
Reimbursement breaks first. Access breaks next.
When reimbursement no longer reflects the care being delivered, access becomes financially fragile. HealthPulse identifies the specific point where clinical economics, payer contracts, and actual claims payment diverge, before that gap threatens a service line, a program, or a hospital's ability to keep operating.
The gap between what a contract says and what actually gets paid.
Reimbursement drift shows up differently depending on where you sit. HealthPulse tests for the specific mechanism in play, rather than starting from a generic assumption.
A rate exhibit that was never updated after a program or service line changed.
Example of what HealthPulse may test for, where relevant.A single-case agreement negotiated after care had already begun, rather than before.
Example of what HealthPulse may test for, where relevant.An outlier or stop-loss threshold that no longer reflects current cost of care.
Example of what HealthPulse may test for, where relevant.Where reimbursement failure has the greatest consequence.
Rural & Critical Access Hospitals
Sustainability once temporary funding declines.
Hospitals & Health Systems
Margin pressure that doesn't trace to volume or cost.
Advanced Therapy Programs
CAR-T, TIL, and transplant reimbursement under FY2027 rates.
Government & Public Sector
Reimbursement policy and program sustainability.
Life Sciences
Coverage-policy and market-access strategy.
Strategic Partners
Teaming and subcontracting in reimbursement work.
HealthPulse also advises healthcare investors on reimbursement and payer diligence → Learn more
Start with the evidence. Expand only when the case is proven.
HealthPulse uses the Boaz Model, a stage-gated engagement structure. Each stage has a bounded scope, a defined decision gate, and a valid stopping point.
Validate
Determine whether the evidence establishes a material issue.
Stabilize
Contain immediate reimbursement leakage or financial exposure.
Repair
Correct recurring contract, payment, and operating weaknesses.
Build
Create durable data, governance, and access infrastructure.
The method behind every stage.
Where the Boaz Model structures the engagement, the Reimbursement Fidelity System is the analytical method applied inside it.
Public evidence and firm experience, kept separate.
Original research and benchmarking.
The CAR-T Reimbursement Gap: A 2026 Benchmark Analysis
A sourced comparison of FY2026 Medicare reimbursement against documented CAR-T delivery costs, drawn from CMS, KFF, and peer-reviewed sources.
Request the full report →Reimbursement Breaks First. Access Breaks Next.
HealthPulse's working framework on the relationship between reimbursement divergence and downstream access risk.
Read the thesis →The conversation starts with one question.
Does the evidence in your program support further investigation? A short conversation is how HealthPulse answers that, honestly, including when the answer is no.
Discuss a Reimbursement Problem →