We deliver hands-on services for organizations at the intersection of lower costs, better outcomes, higher satisfaction, and more effective public policy.
WHO WE SERVE
Self-insured employers provide health coverage to approximately 104 million workers. The size of their footprint makes them the single most important player in the private insurance sector. Their reach gives them the capacity to control the incentives to providers and change the direction of health care delivery.
Employers
Payers, in their capacity as both direct payers and third-party administrators, build provider networks on which employers rely. Their nimbleness in moving from fee-for-service provider compensation to value-based payment will be critical in employer efforts to reduce costs and increase satisfaction.
Payers
Providers
Primary care providers hold the key to the success of value-based health care delivery. Yet, the American Academy of Family Physicians reports that, “Family physicians suffer from significantly higher rates of burnout than physicians in many other specialties with 51% of family physicians reporting being burned out in 2022.” The ability to work in a physician-controlled environment dedicated to the health and well-being of the whole patient, control patient care, sustain patient-provider relationships, and be rewarded for the quality of the care provided are critical elements in provider satisfaction and patient engagement.
Social determinants of health such as poverty, housing, food insecurity, and transportation account for as much as 50 percent of health outcome variation. Integrating community resources into medical care for individuals can drive better health. Developing partnerships between community organizations and health care providers is an indispensable element in reducing costs, increasing access to care, and improving health equity.
Community Organizations
OUR SERVICES
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We perform a streamlined analysis of your operations, structures, costs, and outcomes to determine new value opportunities. Areas of focus can include:
Distribution of Costs by Service and Demography
Health Quality Performance Metrics
Patient Experience
Provider Network Composition
Provider Payment Arrangements
Cost and Value Opportunities
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We develop custom, data-driven strategies based on our assessment and deliver detailed action plans to maximize best outcomes. Strategic planning can include:
Goal Development
Data Analysis
Determination of Target Metrics for Quality and Performance
Detailed Operating Plans
Management Roadmaps for Organization Teams
Identifying Key Partners
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We advise in all areas of implementation, working in tandem with operational teams and partners to guide your organization towards its goals. We advise and manage in the following areas:
Partnership Development
Implementation of New Operating Plans
Progress towards Target Metrics
Oversight of Administrative Partners
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We analyze and report on outcomes in population health, cost, quality of care, and patient and provider satisfaction to give your organization full command of the effects of your operational changes. Areas of expertise include analysis of:
Distribution of Costs by Service and Demography
Total Health Care Spending
Health Outcomes
Worker Satisfaction
Provider Satisfaction
Community Benefit