Physicians, medical groups, health systems, hospitals and other providers such as federally qualified health centers (FQHCs) and behavioral health are recognizing the value in developing a network capable of contracting with payers and self-insured employers in financial risk arrangements. This ability to align financial incentives and gain access to savings and delegation of key services enables physicians and providers to create a much stronger total cost of care, quality, access and member experience value proposition for payers. In an environment focused on cost-cutting and improved outcomes, the ability to organize physicians and providers into a high functioning network is key to financial success.
Regardless of whether you are a group of independent physicians, medical group, hospital with physician network or large diversified health system, our team of experts will help you determine whether you should create a new provider network and/or payor contracting entity, optimize an existing structure, or consider a combination is the best fit solution for your needs.
Our team can assist with:
We partner with our clients to focus on the specific strategic and business goals they are working to solve and recommend the best solutions, rather than trying to fit physician groups, health systems or other providers into a “flavor of the month” model such as an MSSP ACO, IPA, etc.
With deep experience in helping numerous physicians, medical groups, health systems, FQHCs and others to create and optimize provider risk vehicles, our team is able to bring best practices and a set of proven models, pro forma, funds flow models and templates to bear.
Our team of experts have deep expertise creating and managing provider risk vehicles, as well as health plans. We know how to achieve desired outcomes and are able to target our current state assessment in order to quickly identify the gaps that need to be closed in order to achieve early success and build the foundation needed for long term sustainability.