Custom support for population health executives to move confidently from volume to value with:
- Detailed assessments of capabilities and opportunities
- Tailored roadmaps that lay out the right investments to make, and when
- Elbow-to-elbow or interim support for optimal impact
Considering the options regarding the route and pace at which you migrate to value-based care is at the core of health system strategy moving forward. Health systems must determine whether certain models make sense, and in what timeframe they make sense—to maximize payment and mitigate financial downside.
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Choosing to forgo profit in the short term
One of the most important yet challenging steps towards value-based care is determining the net impact on the entire health system over time.
In order to remain financially viable while on the road to value-based care, organizations need to develop a clear strategy that projects how care transformation initiatives will impact revenue. However, mapping out an economic roadmap requires an understanding and analysis of payer, physician, health system, and patient considerations.
With a comprehensive economic understanding, health systems can craft a sustainable value-based payment plan with a solid financial foundation for profitability and growth. Managing financial outcomes includes a dedicated focus on:
- Pacing all population health management initiatives according to targeted financial net impact, including expected return on investment.
- Projecting how care transformation initiatives will impact revenue in the short term, and what the financial outlook is over time.
- Identifying the most profitable risk arrangements, with an evaluation of different contracts that involve distinct at-risk populations.
How we help
Our consulting team partners with health systems across the country to analyze the financial outcomes of their value-based care plans—with pro-forma projections quantifying the impact of care management, physician alignment models, value-based purchasing, bundled payments, and shared savings.
We work with clients to design a custom, comprehensive roadmap that involves the integration of payer, physician, health system, and patient considerations to understand the full financial net impact of their initiatives. In addition, our consultants can conduct a risk readiness assessment to help organizations create a risk-based payment strategy tailored to their unique characteristics.
Braxton “B.J.” Millar, MBA
B.J. serves clients with clinical integration formation, ACO formation, bundled payment design and implementation, program effectiveness, care transformation strategy, population health management, payer strategy development, provider aggregation, and the like.
Hunter Sinclair, MBA
Hunter specializes in Medicare risk strategy, ACO and other accountable payment models, the development and operationalization of MSSP initiatives and clinically integrated networks, and providing strategic guidance to organizations navigating the transition from volume to value.
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The 4-step math exercise for population health