Health Care Financing
Leveraging the possibilities of value-based care
As the clinical and financial advantages of value-based care become clearer, administrators of care delivery systems are challenged to redesign how care is delivered in order to maximize financial benefits. This may require modifying existing care delivery models or designing entirely new integrated care solutions.
To connect these components, we assess and address financial and operational issues associated with emerging payment models, changes in reimbursement structures, quality measurement, new reporting requirements, and incentives to maximize provider participation. We have helped the Centers for Medicare & Medicaid Services (CMS)—the largest payer in the country—and others in developing and evaluating value-based care models. By partnering with us, you can find sustainable and unique solutions so that you benefit from value-based payment models.
Further, with a deep understanding of health policy and the way value-based care initiatives affect payers, providers, and patients, we are well equipped to inform payer strategies. We can design innovative value-based payment systems for various populations and care settings, support provider collaborations, and advise employer programs while prioritizing patient engagement.
Areas of Expertise
- Financial Metric Development and Benchmarking
- Program Design, Implementation, and Evaluation
- Patient Attribution
- Risk Stratification and Adjustment
- Provider Education and Engagement