Value Based Care & Risk Stratification

Value-based Care & Risk Stratification Consulting

Comprehensive strategies to support your stage of evolution
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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  • Outdated workflows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.

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

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 programs.

Our Leaders

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.  

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