STRATEGY · COMPLIANCE · CLINICAL EXECUTION · OPERATIONS

The Integrated Partner for Health Plans That Need More Than Advice

Alerion Advisors is a PE-backed integrated platform delivering strategy, compliance, clinical execution and operations to health plans, providers and service partners. Through Rebellis Group, Toney Healthcare and Advent Advisory Group, we bring together the expertise, infrastructure and workforce to move from insight to impact — as a single, accountable partner with the scale of a large firm and the precision of a boutique.

150+

Health plans served

500+

Team members across brands

1,000s

Audits & assessments delivered

Scale+

Boutique precision

Define Strategy

Align market opportunity, regulatory requirements, and business goals into a clear, measurable plan.

Identify Gaps

Audit and assess performance across clinical, operational, and compliance domains with rigor.

Execute Solutions

Implement targeted interventions across quality, operations, and member experience — hands-on.

Operate & Optimize

Deploy integrated clinical, operational and workforce capabilities to sustain and measure performance.

How We Support Our Partners

Regulatory & Market Strategy

Navigate Medicare Advantage, Medicaid, and ACA with confidence — regulatory clarity through execution.

Audit & Performance Validation

Identify risk, validate performance, and ensure compliance with independent rigor and expert review.

Implementation & Execution

Design, stand up, and operationalize programs — from plan to running program, no gaps in delivery.

Clinical & Operational Support

Provide physicians, care teams, and leadership to run and scale performance across the enterprise.

What Sets Us Apart

  • PE-backed with the capital to invest. Our private equity partnership funds expert talent, technology and scale — so partners grow with us.
  • Expert-led advisory — no bloated teams. Senior operators and subject matter experts lead every engagement. Every person on your team has done this work before.
  • Scale of a large firm, feel of a boutique. 150+ plans served and 500+ professionals give us breadth; our integrated model gives you depth and accountability.
  • Everything measured through impact delivered. Not inputs or effort — outcomes. Quality scores, financial performance, compliance results. We define success in your terms, then deliver against it.
  • One integrated platform, not a vendor collection. Our teams share intelligence and accountability across strategy, clinical and compliance.

AN INTEGRATED PLATFORM OF SPECIALIZED CAPABILITIES

Three Expert Brands.
One Integrated Platform.

Each Alerion brand is a best-in-class operator in its domain. Together, they deliver the full continuum — from strategy and compliance through clinical execution and workforce deployment — through a single, coordinated team accountable for your results.

Toney Healthcare logo

CLINICAL & UTILIZATION MANAGEMENT EXECUTION

Clinical programs, quality improvement, and care delivery support — with the bench strength and speed to staff urgent needs at scale.

→ Utilization Management staffing & programs

→ Physician & clinical leadership deployment

→ Care management program execution

→ Quality improvement operations

→ Surge support & staff augmentation

Advent Advisory Group logo

AUDIT, COMPLIANCE & QUALITY VALIDATION

Independent audits, compliance review, and performance validation — NCQAlicensed HEDIS and CMS audit expertise with proven accuracy.

→ HEDIS audit & abstraction

→ CMS Part C & D data validation

→ URAC accreditation support

→ Stars performance programs

→ Compliance monitoring & review

Rebellis Group logo

STRATEGY, REGULATORY & OPERATIONAL PERFORMANCE

Strategy development, operational execution, and performance improvement — senior operators with deep MA, Medicaid and ACA expertise.

→ Medicare Advantage bid strategy

→ MA compliance & regulatory advisory

→ Risk adjustment & HCC strategy

→ Operational performance improvement

→ Market entry & growth strategy

Why Alerion

End-to-End Execution

From strategy through operations — not just recommendations. We stay engaged until results are real and measurable.

Expert-Led Operators

No bloated teams. Senior specialists lead every engagement — people who have run these programs, not just advised on them.

Strategic Investments

Private equity backing means we invest in talent, technology and capacity — ready to scale alongside our partners' growth.

Proven Track Record

150+ health plans. Thousands of audits. Measurable improvements in quality, compliance, and financial outcomes.

Impact Is How We Keep Score

Everything Alerion delivers is measured against the outcomes that matter — quality scores, financial performance, compliance posture, and operational efficiency. We measure ourselves by the results you achieve, not hours billed or reports written.

Peace of mind for your clinical operations

Toney Healthcare is a provider of outsourced medical and behavioral health management for health plans nationwide via a US-based network of managed care experts, including physicians, nurses, social workers and non-clinical personnel.

*Toney HealthCare is an independent consulting firm.

Utilization Management

Med & BH Utilization 
 Management

Specialty UM 
 (ABA, SUD, IEP)

Physician Review Services & Interim CMO

Appeals 
 and 
 Grievances

Care Management

Med & BH 
 Case Management

Model of 
 Care (D, C, I-SNP)

Med-Psych Care Management

Specialty Care Management (SUD, ASD)

Compliance & Quality

Accreditation

Regulatory and Compliance

Quality

Advent Advisory is a national leader in healthcare quality compliance, specializing in HEDIS audits, data validation, URAC Accreditation and regulatory compliance services.

*Advent Advisory is an independent consulting firm

HEDIS ® 
Audit and Support

  • HEDIS Compliance Audit™
  • Align. Measure. Perform (AMP) Audit Review
  • Physician Pay for Performance Audi
  • Electronic Clinical Data Validation
  • HEDIS Consulting

Medicare 
Data Validation

  • Part C and D Data Validation Audit
  • Part C and D Validation Pre-Assessment Consulting
  • Independent Auditor (IA) for Part C and D Program Audit
  • Universe Assessment and Integrity Testing for Part C and D Program Audit

Pharmacy and 
Clinical Registry Validation

  • URAC Pharmacy Measure Validation
  • Pharmacy Measure Audit Support
  • Clinical Registry Data Validation
  • Compliance Review and Reporting

Rebellis Group is an expert-model management consulting firm focused on helping Medicare Advantage organizations and related entities navigate complex regulatory environments, optimize results, and differentiate in a highly competitive market.  Areas of expertise include; Stars, Compliance, Part D, Revenue and Benefit Strategy, Operations, Sales and Marketing.

*Rebellis Group is an independent consulting firm.

Operations

Operations

Pharmacy

Pharmacy

Compliance

Compliance

Training

Strategic and Financial Planning

Strategic & Financial Planning

Clinical and Quality

Clinical, Quality and Stars

Sales and Marketing

Sales, Marketing and Strategy

Technology

Technology Support

Risk Adjustment and Coding icon

Risk Adjustment & Coding