MSO or TPA Buy or Build
We work in collaboration with our clients to help them understand the value of MSO infrastructure as they consider opportunities to manage risk, improve financial and clinical performance and meet the needs of all members.
Our team helps clients understand the scope of MSO or TPA service and capabilities, assess existing MSO or TPA services and capabilities and recommend solutions to optimize performance, align with market drivers, and achieve both short and long-term member management goals.
Our Approach
Leverage a standard, yet customizable evaluation tool to enable benchmarking of MSO or TPA services, pricing and capabilities against industry leading MSOs or TPAs
Conduct a comprehensive, detailed analysis to assess organization’s market need, existing infrastructure (including IT), re-deployable resources, current vendor contracts and organizational readiness
Provide actionable recommendations and strategic planning to help your organization prioritize investments in MSO or TPA services and capabilities, including build/buy decisions
Develop operational plan and implementation support for any recommended initiatives or procurement processes necessary to optimize MSO or TPA services and capabilities
Thought Leadership
MSO Build or Buy: Strategic Considerations
An Introduction to Building a Management Services Organization (MSO)
Publication: Golden State Guidepost – A Preview of Operational Financial and Regulatory Dilemmas
Related Solutions
Value-Based Payment Roadmap
Network Adequacy, Analytics, Optimization, Build
Risk-bearing Entities (CINs, IPA, ACO) Build or Optimization
VBC Operations Co-Sourcing
Health Plan Build or Optimization
Clinical Redesign
Payer and Provider Contract Management and Optimization
SDoH, CBO Integration and Utilization, and CBO IPAs
Care Management
Medical Management
Analytics for Risk Contracting (ARC)
Data as a Service (Daas)
