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VALUE-BASED INITIATIVES

Payors are increasingly seeking value-based arrangements, which are heavily influenced by provider performance and  and patient outcomes.  We offer services to help initiate and evaluate value-based arrangements. 

Value-based payment models are increasingly replacing or complementing traditional payment methods by placing a greater emphasis on the quality of care. While each value-based arrangement has its own unique elements, the common goal is clear: to secure enhanced reimbursement for delivering efficient, high-quality care that leads to improved health outcomes. Our approach carefully assesses all the critical components needed to implement a successful value-based agreement.

Evaluate the current Managed Care Contract Position of the healthcare provider

Identify the Population Health Improvement Opportunity for conditions and characteristics

Determine the Value Based Models appropriate for the healthcare provider contract position and population served

Collaborate with the managed care plan to Define Capabilities & Tolerance

Select the Quality and Performance Measures devoted to the reduction of cost and management of risk

Construct the Framework that aligns with the managed care plan and healthcare provider protocol

Execute the Agreement with enhanced reimbursement for exceptional performance and improved outcomes

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614-228-9131

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