Best Value-based Care Consulting Services in Australia

Australia Value-based Care Consultants

Australia’s healthcare system is undergoing a major shift toward value-based care (VBC)—a model designed to improve patient outcomes, control costs, and enhance care delivery through data-driven insights and outcome-based reimbursement strategies. As the country adapts to these new standards, consulting firms play a crucial role in guiding healthcare providers, payer organizations, and integrated care networks through transformation.

From implementing performance frameworks and compliance models to integrating digital health tools and optimizing workflows, the right consulting partner can determine whether your organization thrives in this evolving landscape. This curated guide introduces leading value-based care consulting firms in Australia that have demonstrated authentic impact, client satisfaction, and research-backed expertise.

Methodology: How We Chose These Australia-based Value-based Care Consulting Services

✅ Research-driven: Firms with proven track records supported by publicly available results, case studies, and structured frameworks that demonstrate their role in driving measurable improvements in value-based care models.

✅ Client-reviewed: Verified client testimonials, project outcomes, and documented ROI ensured that the firms featured here deliver real-world impact and not just theoretical solutions.

✅ Location-based: All firms are headquartered in Australia or deeply embedded within its healthcare ecosystem, ensuring they understand national policies, payer structures, and the unique dynamics of the Australian healthcare system.

🌟 Australia Value-based Care Consultants - Provider Highlights

Larter Consulting

What they do
Larter Consulting is a health consultancy specializing in primary care reform, Indigenous health, and system funding models. They deliver research, strategy, and implementation support tailored to local health priorities.

Who they work with
Primary Health Networks (PHNs), general practices, NGOs, and government health agencies.

Operating model / unique approach
They combine deep knowledge of Medicare funding with grassroots engagement, ensuring policies translate into practical improvements.

💡 Why they stand out:

✅ Expertise in health funding models, especially within primary care.

✅ Strong commitment to Indigenous health and equity.

✅ A balance of policy-level insight and frontline implementation.

Peter Larter, Founder & Managing Director of Larter Consulting

Peter Larter has over 20 years of experience in health funding and program reform. His leadership style emphasizes collaboration with clinicians and policymakers to design models that work both on paper and in practice. He is known for his role in shaping PHN-level commissioning frameworks and promoting culturally responsive care strategies.

Patient Experience Agency

What they do:
Patient Experience Agency helps healthcare practices and organizations implement value-based health care by improving patient experience and outcomes. Their offerings include consulting & coaching, patient journey mapping, PX (Patient Experience) strategy, improvement initiatives, online courses, workshops, and bespoke facilitation. 

Who they work with:
Practice owners, healthcare providers and managers; also Primary Health Networks & other health-reform stakeholders across Australia.

Operating model:
They deliver a mix of learning and practical support: short online courses & webinars, custom workshops and facilitation, strategy coaching, and free tools (like PX maturity assessments) to help practices benchmark and improve.

💡 Why they stand out:
✅ Deep experience: Over 30 years’ collective clinical, customer and patient insights are embedded in their service design.

✅ Practical, action oriented: They emphasize simple, practical steps (micro-learning, short workshops, jargon explained) so that health practices can implement improvements rather than just plan them.

✅ Patient-centred metrics: Strong focus on measuring what matters to patients (using tools like PROMs / PREMs), partnering with patients, and embedding lived experience in care journeys.

Jill Holmes, Co-Founder of Patient Experience Agency

Jill Holmes has a strong background in patient engagement and healthcare transformation. She is known for her ability to translate patient stories into measurable service improvements, ensuring frontline changes align with strategic objectives. Jill’s leadership style is insight-driven and collaborative, often facilitating co-design workshops that bridge patients and clinicians.

Shelley Thomson, Co-Founder of Patient Experience Agency

Shelley Thomson is a healthcare strategist specializing in experience-based co-design and quality improvement frameworks. With extensive experience in patient-centered initiatives, she has led projects that embed patient voice at the organizational level. Shelley is recognized for creating practical, scalable frameworks that healthcare organizations can adopt to sustain cultural change.

Dana Ronan, Co-Founder of Patient Experience Agency

Dana Ronan brings expertise in healthcare communication and consumer engagement, ensuring that patient perspectives are not just collected but meaningfully applied in decision-making. Her leadership emphasizes clear communication, transparency, and accountability in health reform. Dana is widely known for guiding health organizations to embed patient engagement as a core governance and quality measure.

Enable Health Consulting

What they do:
Enable Health Consulting offers policy-driven healthcare advisory services with expertise in primary care integration, program design, and funding strategies.

Who they work with:
Primary Health Networks, aged care providers, and community health organizations.

Operating model:
They deliver customized solutions through policy alignment, strategic planning, and data-informed decision-making.

💡 Why they stand out:

✅ Strong understanding of Australian health policy frameworks.

✅ Expertise in community-focused and rural health strategies.

✅ Collaborative approach combining analytics and stakeholder engagement.

Brianna Fjeldsoe, Founder & Director of Enable Health Consulting

Brianna is a health policy strategist with extensive experience in digital transformation, primary care program development, and care coordination models. Known for her policy expertise and operational acumen, she helps organizations achieve compliance and measurable improvements in care delivery.

Aller Consulting

What they do:
Aller Consulting helps healthcare providers improve financial performance, regulatory compliance, and care quality through business strategy and process optimization.

Who they work with:
Specialist practices, diagnostics centers, and private health providers.

Operating model:
The firm applies Lean and Six Sigma principles to optimize operations while safeguarding patient outcomes.

💡 Why they stand out:

✅ Proven cost optimization and revenue enhancement strategies.

✅ Expertise in risk and compliance consulting.

✅ Ability to stabilize underperforming practices with turnaround strategies.

David du Plessis, Founder & Principal Consultant of Aller Consulting

David brings deep experience in financial strategy and operational management for healthcare practices. He is recognized for driving profitability and regulatory compliance without compromising clinical integrity.

New High Consulting Pty Ltd

What they do:
New High Consulting offers organizational development and leadership advisory services tailored for healthcare businesses transitioning to modern care models.

Who they work with:
Medical practices, allied health networks, and specialist groups.

Operating model:
They focus on leadership development and cultural transformation to align teams with value-based principles.

💡 Why they stand out:

✅ Specialization in leadership and culture-driven change.

✅ Evidence-based frameworks for staff engagement and performance.

✅ Experience in organizational restructuring for VBC compliance.

Paul White, CEO of New High Consulting Pty Ltd

Paul is a leadership and organizational development expert with decades of experience in executive coaching and team alignment. His approach focuses on sustainable culture change for healthcare systems moving toward outcome-driven care.

HealthConsult

What they do:
HealthConsult provides health economics, policy analysis, and strategic advisory services for large-scale healthcare reforms and value-based funding models.

Who they work with:
Government agencies, hospitals, and research institutions.

Operating model:
The firm uses data modeling and policy-driven analytics to support health system redesign and funding strategies.

💡 Why they stand out:

✅ Renowned expertise in health economics and policy evaluation.

✅ Strong presence in national health reform projects.

✅ Data-driven methodologies for performance and efficiency.

Lisa Fodero, Co-Founder & Managing Partner of HealthConsult

Lisa brings deep expertise in health program and policy design, evaluation, and funding reform. She has led large national projects across aged care, clinical trials, and health screening, with a focus on benchmarking, costing, and performance monitoring. Known for her hands-on leadership, Lisa specializes in delivering practical, evidence-based recommendations that help governments, providers, and organisations implement sustainable and effective healthcare improvements.

Joe Scuteri, Co-Founder & Partner of HealthConsult

Joe has over four decades of experience in the health sector. He has led more than 600 projects across health, aged care, and disability services, specializing in activity-based costing and funding methods. Joe is known for applying innovative funding and service delivery strategies across a wide range of health services, helping organizations implement practical, evidence-based solutions that drive sustainable improvements in care and efficiency.

Insight Actuaries

What they do:
Insight Actuaries brings actuarial expertise into health financing, value-based reimbursement, and predictive analytics.

Who they work with
Insurers, government departments, and large providers.

Operating model / unique approach
They combine actuarial rigor with real-world healthcare application, making financing models sustainable and outcomes-focused.

💡Why they stand out:

✅Unique actuarial perspective applied to health outcomes.

✅ Strong modeling of population health and cost drivers.

✅ Ability to design value-based funding arrangements with precision.

Daniël Erasmus, Co-Founder & Director of Insight Actuaries

Daniël Erasmus is an actuary with deep experience in healthcare financing. He is known for bridging actuarial science with health reform, ensuring funding models are both sustainable and patient-focused.

WCJ Consulting

What they do:
WCJ Consulting focuses on healthcare strategy, operations improvement, and accreditation readiness for clinical providers.

Who they work with:
Private health providers, diagnostic services, and allied health organizations.

Operating model:
They apply practical, compliance-focused solutions designed to align operations with value-based metrics and standards.

💡 Why they stand out:

✅ Specialization in quality and safety accreditation frameworks.

✅ Track record in optimizing workflows for cost and care efficiency.

✅ Personalized consulting tailored to provider size and needs.

Katerina Panova, Founding Director & CEO at WCJ Consulting

Katerina is an accreditation and compliance expert with years of experience guiding healthcare providers through regulatory and operational challenges. She focuses on creating structured systems for continuous quality improvement.

Australia’s Shift to Value-Based Care: Why It Matters Now

The adoption of value-based care in Australia is redefining how healthcare organizations deliver patient-centered, outcome-driven solutions. This shift emphasizes coordinated care, cost efficiency, and improved patient satisfaction rather than fee-for-service models. Consulting firms across Australia are helping providers navigate reimbursement reforms, implement digital health innovations, and create integrated care pathways. They bring deep expertise in strategic planning, compliance, and patient experience to ensure measurable outcomes. These consulting services are essential for providers aiming to thrive in an evolving healthcare landscape focused on accountability and sustainable care delivery.

At Digital Reference, radical authenticity is at the core of every insight, ensuring that strategies are not just theoretical but grounded in real-world evidence and actionable outcomes. Its importance lies in fostering transparency and credibility, giving businesses a clear direction for impactful decisions.

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In a world where healthcare transformation depends on precision and trust, value-based strategies demand partners who deliver clarity and measurable success. Organizations need guidance that aligns with evolving patient expectations and regulatory shifts without losing sight of operational excellence. Access to curated knowledge, actionable frameworks, and proven strategies creates a foundation for meaningful progress. Find the insights that matter most, only at Digital Reference.