Toney HealthCare Consulting

Toney Healthcare is a clinically-led professional services firm that provides managed care and clinical operations expertise to health plans and risk-bearing organizations. Founded in 2008, the company specializes in utilization management, care management, quality improvement (HEDIS/Stars), and regulatory compliance across Medicare, Medicaid, and commercial lines of business. Toney Healthcare is distinguished by its 'Insource Partnership' model, where it provides fully integrated, non-delegated clinical teams to assume responsibility for specific health plan functions. Following its acquisition by Centre Partners and a subsequent merger with Rebellis Group in 2024, the firm has significantly expanded its strategic advisory capabilities, particularly within the Medicare Advantage and Part D sectors.