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 Healthcare Is Financed

We are 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, & 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.

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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.