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
The transition to value requires providers to have a platform that enables the delivery of high-quality care at the lowest possible cost.
This is where developing an integrated, coordinated network is essential, because it achieves scale, enhances operational efficiency, and improves clinical outcomes.
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Setting up the right infrastructure
Should we employ physicians, clinically integrate, or invest in referral relationships? How do we determine the optimal reach and scope of our network? What types of regional partnerships would benefit our system?
There are a number of key questions and strategic decisions involved for health systems evaluating their ambulatory care networks. The challenges of setting up the right structure, with the proper geographical reach and clinical scope, are vast—but so are the benefits of partnership:
- Payer Contracting: Strengthens negotiating position and allows access to larger purchasers
- Brand Identity: Confers reputational benefits and signals strength of integration
- Strategic Plan: Allows rationalized investments and divestitures
- Governance: Ensures stability and implementation of other shared elements
- Operations: Enables process efficiencies and knowledge exchange
- Clinical IT: Broadens perspective over care continuum and reveals opportunities for reducing total cost of care
- Care Management: Reduces clinical variation and fragmentation in care delivery and improves outcomes
- Expertise: Flattens learning curves and promotes best practices
How we help
Our team offers a range of services to help organizations create physician networks capable of engaging both employed and independent physicians in value-based care delivery. We are working with providers across the country to develop local, regional, and state-wide networks—guiding them on partnership decisions, physician alignment, reimbursement, and ensuring their size and scope match the needs of their purchasers.
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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