micmoor57_A_portrait_photo._Background_should_be_a_solid_colo_e0c58d5c-58d0-40ea-a041-52e17370ef73_0-1

Value-Based Care

Improve health outcomes and reduce costs by prioritizing preventative care and omnichannel engagement.

 

Building sustainable healthcare through value

The shift to value-based care is transforming healthcare by addressing rising costs, improving care quality, and emphasizing preventive and chronic disease management. Moving away from the fee-for-service model, which often promotes quantity over quality, value-based care focuses on high-quality, patient-centered services to effectively manage costs. The goal over the next decade is to develop a more coordinated and efficient healthcare system that enhances patient satisfaction and outcomes, reduces disparities, and prioritizes preventive care, leading to a healthier future for all.

happy family (2)

Barriers and challenges in value-based care

Despite the promise of enhanced patient outcomes and cost efficiencies, healthcare organizations navigating the shift to value-based care encounter formidable challenges.

01
invoice-1
Medical loss ratio pressure

Payers struggle with maintaining profitability under value-based payment models.

02
Chart
Provider financial strain

Razor-thin profit margins make it difficult for providers to invest in necessary resources.

03
cloud
CMS payment adjustments

Frequent changes in reimbursement policies add uncertainty.

04
Smartphone icon
Risk profile accuracy

Inaccurate risk assessments lead to financial misalignments.

05
vision
Contract effectiveness

Ensuring that financial contracts accurately represent value-based outcomes is a complex task.

06
Icon-Mar-20-2023-09-42-05-5654-AM
Increasing STAR ratings

Payers are constantly under pressure to maintain and improve STAR Ratings, which can impact reimbursement and member satisfaction.

07
Icon (8)
Quality of care metrics
Meeting stringent quality of care metrics to ensure high performance is often a stressful and resource-intensive process for providers.

Key strategies to deliver patient-centered, integrated care

Leverage proven strategies to excel in value-based care, enhancing healthcare outcomes and reducing costs through a strong focus on wellness and preventive treatments.

software-engineers-working-on-project-YXP4FJT

Provider network management

Optimize provider networks to ensure high-quality care at controlled costs, reducing unnecessary expenses.
a male and female running

Enhance decision support

Provide actionable analytics to support providers with comprehensive patient information, improving risk assessment and contact efficacy. 
family playing soccer

Improve patient engagement

Implement personalized and consistent interactions across all touchpoints to improve patient satisfaction  and outcomes, directly influencing STAR ratings and quality of care.
healthcare provider with tablet

Streamline administrative processes

Reduce administrative burdens to free up resources for patient care, allowing providers to focus on meeting quality metics. 
asian woman practicing yoga (1)

Proactive health management

Leverage data to proactively predict and manage patient health, with a focus on low and moderate risk populations and chronic conditions, ultimately enhancing overall care quality.
asian woman practicing yoga

Improve access to care

Ensure equitable and comprehensive access to healthcare services for all patients, improving overall satisfaction and engagement. 

who we serve

Solutions to meet your unique objectives

Close the gap in care and margins with solutions that deliver better experiences and health outcomes.

Ready to discuss your project?

Let's talk