Third Party Administration
Value-based care business process management services for hospitals, health systems, physicians, and payers that want to optimize revenue from alternative payment models by improving clinical outcomes and reducing operating costs.
EnableSuccess In Value-Based Care
Leverage Our Value-Based Care Process Management Expertise
Strategic management and analytics
- Build the administrative and operational infrastructure you need to successfully transition to a value-based reimbursement model. Our expertise can help you control patient care costs, improve outcomes, and boost margin growth.
- Conduct a transformation assessment to identify how you can enhance profits and improve outcomes through your current payment arrangements. You can also evaluate the impact of shared savings and/or shared risk models.
- Develop your accountable care strategy and operational approach. Leverage our experience as you negotiate payer and provider contracts, develop innovative payment models, and manage the complexities of value-based medical claims management.
Network development and physician recruitment
- Identify, develop, and integrate a network of primary care and specialty physicians and high-quality, low-cost facilities to participate in a streamlined care delivery model.
- Evaluate physicians for inclusion in your network by analyzing their clinical quality, service quality, and utilization management data.
- Support the recruitment, credentialing, and the successful onboarding of your provider network.
Practice transformation and care coordination
- Offer onsite practice assessments, coaching, and quality improvement initiatives to support each provider network member’s transition to a value-based reimbursement model.
- Develop and apply the right value-based care model for your organization such as PCMHs, ACOs, and other relevant models.
- Leverage care coordination resources for high-need patients. Track and communicate patient care, protocols, and progress across the care continuum.
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