Value-Based Payment Roadmap
The market continues to create pressure on payers and providers to move into value-based payment, transferring more financial risk from payers to providers in order to align financial incentives.
We align with you on your strategic goals and develop a detailed roadmap to transition into more advanced VBP arrangements and ensure successful performance.
Our experts bring to bear best practice tools and templates for risk-bearing organizations (RBOs), Population Health Management (PHM), Value-Based Payment (VBP) and Network requirements.
If you lead a provider value-base care organization (CIN, ACO, PHSO, PHO, IPA or medical group), you can take our 3-minute Value-Based Care Organization Maturity Assessment to instantly view a downloadable chart describing where you stand relative to best practice.
Our Approach
Complete a market assessment with competitive insights, market opportunity summary and provider profiling to inform financial opportunities, payer risk arrangement strategy and opportunities to strengthen the physician network.
Collaboratively develop a set of strategic objectives, including desired future state risk-model framework and consensus on population health management requirements to achieve VBP growth goals over the next three to five years.
Based on the strategic objectives, market assessment and provider profiling, produce a Population Health Management Capabilities Gap Assessment
Develop a 3-5 Year Implementation Roadmap with key strategic and operational milestones, proposed management structure & capabilities
Executive leadership & management working sessions, vetting requirements for success, proposed KPIs & functional milestones
Develop a 12-18 month detailed operational implementation plan & VBP contracting playbook
Thought Leadership
Path to Value-Based Program Transformation: A Phased Approach
Accessing More of the Health Premium: The Transition into Population Health and Value-based Payment
Optimizing an ACO Network to Succeed in Downside Risk Arrangements
To Succeed in at Managing Population Health, Adopt a Health Plan Mindset
Related Solutions
Network Adequacy, Analytics, Optimization, Build
Risk-bearing Entities (CINs, IPA, ACO) Build or Optimization
VBC Operations Co-Sourcing
Health Plan Build or Optimization
Clinical Redesign
Payer and Provider Contract Management and Optimization
MSO or TPA Buy or Build
SDoH, CBO Integration and Utilization, and CBO IPAs
Care Management
Medical Management
Analytics for Risk Contracting (ARC)
Clinical Insights
