Claudia Rubin
Senior Advisor
Commissioning & System Design
Public health systems including NHS Trusts, Integrated Care Boards and Local Authorities
Supporting commissioners and system design
System design is fundamentally about incentives. There is no perfect health system – in NHS-style systems, doctors are not financially incentivised to over-treat and surgery rates are generally lower than in private systems. The ideal health system is probably somewhere between the two extremes.
Whether care is delivered at home, in the community, or in hospital is shaped as much by payment flows and contractual arrangements as by clinical priorities. When incentives are misaligned, costs rise and patients remain in higher-intensity settings for longer than necessary.
We support commissioners and system leaders in the UK and globally with market design, contracting frameworks, financial modelling, and health–social care integration.
Our expertise spans applied analytics, demand and capacity modelling, programme delivery, and leadership development.
Our commissioning & system design leads
Our teams combine scientific expertise with deal experience. We bring rigour to forecasting and valuation, assess regulatory and market access dynamics, and help frame development strategies that appeal to potential partners or acquirers. This ensures that investment cases are built on realistic assumptions and that transactions are structured to capture fair value.
Beyond transactions, we support operational priorities such as target operating model design, performance improvement, and digital and data strategy. By combining strategic clarity with an understanding of scientific and clinical realities, we help biotech firms and their backers make sound decisions in an increasingly competitive market.
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