Transforming How Healthcare Is Financed
RTI Health Advance is an industry leader in designing, deploying and optimizing value-based care solutions for our clients.
We incorporate a diverse array of disciplines and perspectives into our approach to address the financial and operational issues associated with emerging payment models and changes in reimbursement structures. With experts in health policy, economics, medical care, quality measures and risk adjustment, we’ll design, implement, and optimize your approach no matter where you are on your value-based care journey.
We Help Clients Design, Implement, and Evaluate
- Value-Based Payment Models
- Alternative Payment Models
- Outcomes-Based Contracting Strategies
- Bundled Payment Models
- Risk Adjustment Strategies
- Accountable Care Organization Models
- Price Transparency Requirements
We’ve Been Here 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 designed 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.