Our mission is to Make ACO COntracting Affordable & Successful
We integrate cost and quality into risk contracts
Our mission is to Make ACO COntracting Affordable & Successful
We integrate cost and quality into risk contracts
About
For Employers, we offer:
- Lower trends and better member services
- Data driven advice and decisions.
- Benefit planning and care integration to grow your ACO.
- Risk & gain sharing projections.
- Interim and end of year financial reconciliation.
- Proven ACO contracts, RFPs, and tools.
- Network curation and design assistance.
For Health Systems, we offer:
- Greater market value with commercial business
- Medical & Rx data intake to create financial projections.
- Integrated cost and quality goals (i.e., it's not all about cost controls).
- Transparency of up and downside risks (i.e., no surprises).
- Use provider feedback to improve financial & clinical goals.
Our ACO Vision
- Running an ACO on data is more than trending PMPM and utilization.
- Building and curating an ACO should not be about narrow networks.
- Contracting with providers is more than selecting the few low-cost high quality (if even possible).
- Quality is more than adding HEDIS to quality metrics.
- Integrating cost and clinical data is about prioritizing resources into a short and long-term success.
What we offer – ACO in a Box
- We offer DIY options to make ACO contracting affordable.
- We integrate vendors and provider solutions.
- We help make ACOs more attractive to your members.
- We use data and benchmarks to improve clinical and cost efficiencies.
- We help you build a full-service network.
We help you plan for success.
- Feasibility and predictive modeling of ROI
- Work groups with pre-defined agendas in MS project.
- RFP – with electronic delivery and scoring.
- Transparency - tools for up and down risk.
- Benefit Design – getting to something better.
- Network Curation – full service by member zip.
- Data – integrated into EMR and HIT solutions.
- Quality & Customer Service – integrated in to fiscal.
- Care transformations – better efficient care.
- Vendor coordination – no more stand-alone solutions.
- Marketing & Communications – defining needs & wants.
- Contracting - defining risk and gain opportunities.
- Prelaunch – a detailed process to ensure day one success.
- Quarterly and Semi-annual mtgs that keep contractual obligations on track.
- Financial Reconciliation – an actuarial assessment of risk and gain obligations.