Value-Based Care & Risk Stratification
A successful value-based care program requires significant integration between clinical, financial, operational, information technology, and analytics teams across the continuum of care. It also entails the diligent and focused transition of reimbursements from traditional fee-for-service contracts to risk-based agreements supported by innovative delivery models and technology.
Challenges
Transitioning from volume to value-based requires a shift from a reactive and episodic form of care to a more proactive delivery approach. New processes for patient engagement and care coordination, as well as improvements in information sharing and technology, are crucial. Whether you are just starting the transition or are already in a VBC arrangement, we can help overcome your challenges.
- Lack of coherent strategy and organization alignment
- Non-interoperability among systems
- Inaccessible clinical data or lack of actionable information
- Inaccurate clinical documentation
- Fragmented care delivery
- Outdated workflows
- Limited internal resources
- Trouble getting buy-in
- Elevated financial risk
Value Delivered
Better patient outcomes and satisfaction
A proactive, coordinated approach to managing at-risk patient health can lead to better long-term results
Improved financial performance of risk agreements
Reducing readmissions and penalties drives lower costs
Enhanced resource management, care delivery and coordination
Through technology improvements and better information sharing, teams can focus on what is most needed to improve patient care, reducing burnout and increasing provider satisfaction
How We Deliver Value
Impact Advisors’ teams offer a powerful combination of strategy, operations, and clinical expertise to meet you where you are on your journey from traditional fee-for-service to value-based care models.
Moving from Volume to Value
Contemplating the shift from fee-for-service to value-based care? We can help assess your readiness and gauge potential performance value. Often overlooked is the importance of organizational alignment and change management to support your transition, which we also provide. Other value-adding services include:
Analytics assessment and risk modeling
Data integration and interoperability assessment and roadmap development
Comprehensive strategy and work plan development
Improving Value-Based Care Performance
If you are in a low-performing ACO or risk-based agreement, we can help you identify and prioritize opportunities to improve operational and financial performance based on your current outcome-based payment agreements. Our proven strategies may include improving efficiency of provider services for risk-pool members, identifying opportunities for increased revenue capture and cost savings, aligning payer/health system/provider needs, and recommending innovative care delivery models and digital health and call center programs.
Our Leaders
John Klare – Managing Partner
John is a highly accomplished, results-oriented, senior executive and consultant with experience in healthcare provider business transformation, operations improvement, revenue cycle, and new service line development. He is a proven leader with experience in multiple start-ups/private equity/IPOs. John has an outstanding track record of new business development for complex consulting and large business process outsourcing (BPO) contracts.
AI/Artificial Intelligence
Application Management Services, EHR
Ready to join the team?
Start making
your impact today!
If you are passionate about improving healthcare, we’d like to know you. Check out our current list of openings or talk to one of our recruiters.