This case is made to be interviewer-led. Therefore the interviewer should guide the candidate through the interview.
Through questions from the interviewer, the candidate is tested on problem-solving skills, so the entire case will have a question/answer format.
Our client is Unified Health, a health care company in the US. It insures patients and provides health care services. Employers pay a premium to UH for their employees and UH covers all necessary medical costs. UH has 300,000 patients enrolled. It has 300 salaried physicians covering 6 health centers which aren't owned by UH, but UH contracts local hospitals. If a patient needs medical care not covered by a UH physician, the patient is reffered outside the network and UH pays for all costs.
Over the past 6 months UH has suffered declining profitability and you are hired to figure out what is wrong.