Value-Based Care Consulting

A fully customizable service for payers that want to collaborate with providers to coordinate care, implement value-based reimbursement models, and drive improved outcomes at a lower cost.

Transition to Value-Based Care 

Leverage our deep expertise to help you select care models and engagement strategies, conduct cost/quality analyses, reward performance, and track results.

Analyze local market dynamics and potential provider engagement to determine which value-based care models to pursue.

Build collaborative provider relationships to implement best practices, develop provider performance incentives, and reduce the cost of care.

Identify, evaluate, and recruit primary care providers and high-performing specialists for value-based care program participation using intelligent analytics.

Direct referral volume to a high-performance network of specialists by facilitating primary care physician referrals to more cost-effective, high-quality care.

Establish administrative support processes for measuring program results and managing payment distribution and reconciliation.

Impact Population Health With Value-Based Strategiest

Assess Quality and Outcomes

  • Determine optimal care models by analyzing your local market, assessing factors such as demographics, SDOH-related needs, insurance coverage, and the number of independent vs. employed physicians.
  • Rely on our expertise in care model design and implementation to launch a value-based reimbursement model such as bundled payments, pay for performance (P4P), or patient-centered medical homes (PCMH).
  • Align payments with cost, quality, and outcomes by analyzing your claims data; establishing financial, quality, and efficiency benchmarks; and integrating existing models of care with new models. 

Engage Members and Providers

  • Nurture provider trust by sharing timely, transparent quality and performance metrics; identify opportunities for performance improvement and improved patient care decisions. 
  • Facilitate provider participation in new care models with customized engagement strategies incorporating data analytics, educational outreach, experience surveys, and utilization and quality metric performance. 
  • Create communication campaigns to encourage members to choose high-quality, low-cost providers and services. Use predictive analytics to identify rising risk members and help close gaps in care.  

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