Healthcare requires restructuring expertise that is deeply rooted in industry-specific economics, regulatory frameworks, reimbursement systems, and operational interdependencies.

One of the primary reasons generic turnaround strategies fail in healthcare is that healthcare revenue does not behave like traditional revenue models. In most industries, revenue is calculated simply as units sold multiplied by price per unit. In healthcare, revenue is determined by a complex mix of payer categories such as Medicare, Medicaid, managed care, and private pay, each with different reimbursement methodologies, timelines, documentation standards, and compliance requirements. Revenue is influenced by case mix index, clinical documentation accuracy, authorization approvals, denial rates, value-based care adjustments, contractual rate negotiations, and regulatory compliance thresholds. A generalist consultant might suggest increasing sales volume or adjusting pricing strategies, but in many healthcare segments, pricing is regulated, reimbursement rates are negotiated in advance, and payment timing is unpredictable. Without deep healthcare expertise, advisors often misdiagnose revenue challenges as marketing issues when the real problems lie within payer mix imbalance, underperforming contracts, revenue cycle inefficiencies, or reimbursement leakage. At Skill Consultants, we approach revenue restructuring differently. We conduct payer-level profitability analysis, evaluate true reimbursement yield by contract, assess contribution margins by service line, model authorization leakage, and align revenue recognition timing with actual cash inflows. Rather than recommending surface-level revenue growth initiatives, we redesign the financial architecture of revenue to create sustainable, compliant, and predictable performance improvements.