Actionable analytics and advisory for health financing.

We help governments, payers, and multilaterals shape health financing that works — drawing on health economics, epidemiology, and biostatistics, with more than a decade of applied work across South Asia, Sub-Saharan Africa, and beyond. Deep roots in low- and middle-income countries.

Health financing for Universal Health Coverage.

Xion Health envisions a world in which everyone, regardless of socio-economic and health status, has access to affordable, quality healthcare.

We believe this requires financing that is purposefully aligned with integrated care: financing that supports, rather than fragments, the delivery of care that people need.

How we work

Our work is guided by three commitments: to context, to method, and to quality.

Context-driven

Our work begins with a deep understanding of the country, the institution, and the question at hand, informed by evidence, and the realities on the ground.

Method-driven

We draw on the latest tools and techniques of health economics, epidemiology, and biostatistics, selecting methods that fit the question rather than the other way around.

Quality-driven

With every collaboration, our goal is to meet and exceed client expectations, delivering analyses, insights, and recommendations clients can trust and confidently use for decision-making.

RRooted

in context

RRigorous

in method

RReliable

in delivery

Where we focus

Xion Health's work is centered on health financing in pursuit of Universal Health Coverage. Within health financing, our work spans the following service areas.

01

Strategic purchasing & provider payment

Designing how funds flow to providers, turning passive budgets into active levers for efficiency, equity, and quality.

02

Value-based & integrated care

Aligning payment and delivery so that care is coordinated, outcomes are measured, and value, not volume, is what is purchased.

03

Financing transition & sustainability planning

Helping countries chart a path from donor dependence to domestic resilience without losing hard-won gains in coverage and quality.

04

Health insurance & coverage

Designing and reforming insurance schemes that pool risk fairly, expand coverage, and deliver on the promise of financial protection.

05

Claims management & payment integrity

Strengthening the systems that pay providers, reducing leakage, detecting fraud, and ensuring every dollar buys care that was delivered.

06

Private sector engagement & investment

Engaging private providers, insurers, and investors as partners in health, and supporting the investment needed to expand access and innovation.

07

Strategy assessment & alignment

Reviewing health and health financing strategies to sharpen their relevance and implementation effectiveness.

08

Health economic evaluation & decision support

Applying economic analysis, cost-effectiveness methods, and related tools to guide resource allocation and assess the value of health policies, programs, and investments.

Who we are

Portrait of Bishnu Bahadur Thapa

Bishnu Bahadur Thapa, PhD

Founder and CEO

Bishnu Thapa is a health economist with over 11 years of experience providing advisory and analytical expertise on health financing and related domains. He has worked across countries in South Asia, Sub-Saharan Africa, East Asia, and the Americas, bringing deep experience in provider payment, health insurance, financing transitions, integrated care, and the broader agenda of Universal Health Coverage.

He has collaborated with national and sub-national governments, multilateral organizations, nonprofit and academic institutions, and leading life sciences companies. Bishnu holds a BA in economics from Harvard University, an MPA in economics and health policy from Princeton University, and a PhD in health services research with a specialization in health economics from Brown University.

Portrait of Richa Joshi

Richa Joshi, MBA, MS

Senior Advisor

Richa Joshi is currently a senior biostatistician at the Brown University School of Public Health. She has nearly a decade of professional experience spanning both the private sector and research institutions. She has extensive expertise in working with healthcare claims data, including Medicare, Medicaid, and all-payer claims data from the US.

At Brown, Richa collaborates with senior researchers on health projects funded by the National Institutes of Health, the Rhode Island Department of Health, life sciences companies, and foundations. Her work spans a range of critical topics, from analyzing prescription drug cost trends to evaluating post-acute care among Medicare beneficiaries. Previously, Richa worked with the International Finance Corporation and Pact. She holds an MS in data science from George Washington University and an MBA in finance.

Work with us

Xion Health partners with governments, multilateral organizations, payers, foundations, academic institutions, and life sciences companies on the questions that matter most in health financing. Whether you're designing a reform, evaluating a program, or navigating a financing transition, we'd welcome the chance to explore how we can help.

Start a conversation

Join us

Xion Health is building a team of health economists, analysts, and advisors who care deeply about the work and the places it touches. We're always interested in connecting with talented people who share our approach.

Send a note and your CV to careers@xionhealthllc.com. In your note, please tell us briefly why Xion Health interests you and which of our service areas connects with your background.

Get in touch

Get in touch at info@xionhealthllc.com. Whether you're starting a conversation, scoping a project, or simply curious about our work, we welcome the connection. We respond to every inquiry by the end of the next business day.