Payment Reform Solutions | RTI Health Advance

We've joined our RTI Health Solutions colleagues under the RTI Health Solutions brand to offer an expanded set of research and consulting services.

Transforming How Payment Reform is Deployed

Making ACOs simultaneously work for the Medicare program, commercial health plans, providers, and patients is a complex endeavor. RTI Health Advance’s diverse team of experts help clients address financial and operational issues associated with payment reform, including emerging payment models, changes in reimbursement structures, quality measurements, reporting requirements, and incentive structures to design, implement, and optimize your approach no matter where you are on your value-based care journey.

Our Expertise

Next Generation ACO Strategies and Validation
Alternative Payment Model Design and Adoption
Outcomes-Based Contracting Strategies and Development

Price Transparency Strategies and Adoption
Bundled Payment Modeling and Validation
Risk Adjusted Design, Implementation, and Evaluation

We've Been Implementing Payment Reform from the Beginning

Operationalized the ACO model

We designed the implementation of the accountable care organization (ACO) model from its inception to developing the Medicare Shared Savings Program (MSSP) critical operational elements to make ACOs successful.

Developed Algorithms for Risk-Adjustment Payment Model Methodologies

We created and maintained risk-adjustment methodologies to support Medicare Advantage and Part D capitated risk to enroll and service a broader population.

Advanced the P4P Model

We created and implemented the performance-based incentive payment (PBIP) for the Comprehensive Primary Care Plus (CPC+) model to strengthen primary care through regionally based, multi-payer payment reform and care delivery transformation.

Operationalized the ACO model

Developed Algorithms for Risk-Adjustment Payment Model Methodologies

We created and maintained risk-adjustment methodologies to support Medicare Advantage and Part D capitated risk to enroll and service a broader population.