Stuck in the same role with the same role and the same people? Consultants naturally want to try something new. Many firms give them the opportunity to do just that. This year's Top 5 is the same as last year...just in a completely different order. Clearview Healthcare Partners moved up two spots to rank #1, boosting its score by nearly .2 of a point along the way. ghSMART climbed three spots. At the same time, last year's #1, Putnam Associates, dropped to #5 courtesy of a .55 of a point decrease.. McKinsey also shed .3 of a point, resulting in its move to #3.