There is an increased interest on the part of payors to find providers who can enter into risk-based contracts in exchange for access to the premium dollar. Market pressures include:
Provider organizations should only consider entering into such arrangements following a thorough understanding of risk-readiness gaps. To help our clients ensure the right trajectory for success, we have developed a systematic approach to objectively assess current capabilities, strengths and opportunity areas.
Specifically, we assess readiness for population health management and help organizations determine the appropriate level of risk arrangements they may be able to take on. We guide clients through the process of understanding and evaluating their populations, current managed care arrangements and system capabilities to determine the best-fit opportunities to achieve greater financial integration with payors/providers while right-sizing their population health infrastructure. Our work includes: