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Managed & Consulting Services for VBC Organizations

Value-based care is the future of healthcare, but it’s not a one-size-fits-all journey. Succeeding in VBC care delivery and payment models requires a deep understanding of your data, and the pathways to maximize the information available to the benefit of your patients or members and your bottom line. Put the expertise of our team to work for you in any VBC arrangement or line of business.

Put Our Expertise to Work for You

When you’re ready to take on value-based care contracts and engage in alternative payment models, our experts are here to help you achieve your clinical and financial performance goals.

Actuarial Consulting

Take advantage of our expert analysis and forecasting, including baseline data, benchmarking, and modeling financial and clinical performance for VBC.
  • Forecast spending by market, service line, and location based on historical data
  • Capture baseline data to measure financial impact of various VBC contracts and APMs
  • Model and manage risk pools to find opportunities to minimize downside risk as needed
  • Review VBC contracts and get expert recommendations on contract parameters
  • Predict future performance in bundled payments and capitation models

Bundles Program Management

Confidently participate in prospective bundled payments with help from our team to design, operate, and optimize these alternative payment models.
  • Manage constantly changing eligibility rolls and optimize risk, quality, and cost
  • Easily administer multiple capitated payment agreements with various providers
  • Model risk and identify key performance drivers for clinical and financial success
  • Create automated workflows to streamline authorizations and referrals for accurate claims
  • Maintain oversight with automated checks and balances and advanced reporting tools

30-Year Legacy of Innovation

We apply more than 30 years of experience to help you make the most of your value-based care software to optimize performance and accelerate care delivery transformation.

The Enterprise Data Management Difference

What sets us apart? Every client receives access to data tools that integrate virtually any source into a single, unified data lake. We automatically cleanse, normalize, and enrich the information so you get high-quality data warehoused securely in the cloud and accessible from anywhere. It’s the ultimate source of truth to power all activities in a value-based care world.

We Serve Organizations Like You

PAYER

Bridge the gap between provider network and health plan objectives to achieve cost and quality goals in a value-based care world.

LET'S GO

PROVIDER

Thrive in a VBC future by identifying, understanding, and acting on opportunities to meet clinical and financial goals.

LET'S GO

SELF-FUNDED

Control ever-increasing healthcare costs, optimize benefits design, and build a network of high-quality providers for members.

LET'S GO

Client-First Approach

We believe in true partnership to be successful. That’s why we focus on a client-first approach including:

  • Skilled Team to Guide Implementation
  • Dedicated Client Success Manager to Meet Goals
  • Training Team Delivering New Learning Opportunities
  • “Always On” Support Team When Obstacles Arise

A Sustainable Healthcare Future Demands Action

It’s time to transform care delivery from focusing on volume to focusing on outcomes. The consequences of inaction are too high, and the path to better healthcare is clear. Our high-performance technology is designed for a value-based future, and in this future there are no spectators – it will take ALL of us working together to achieve our goals.

BE A PART OF THE REVOLUTION

Explore the Platform

The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you.

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