Service

Value-Based Care Consulting

A fully customizable service for payers and providers that want to collaborate with providers to coordinate care, implement value-based reimbursement models, and drive improved outcomes at a lower cost.

 

Get Support
Contact Sales

Transitionto Value-Based Care

  • Leverage our deep expertise to help you select care models and engagement strategies, conduct cost/quality analyses, reward performance, and track results.

  • Build collaborative Payer/Provider relationships to implement best practices, develop provider performance incentives, and reduce the cost of care.

  • Direct referral volume to a high-performance network of specialists by facilitating primary care physician referrals to more cost-effective, high-quality care.
  • Analyze local market dynamics and potential provider engagement to determine which value-based care models to pursue.

  • Identify, evaluate, and recruit primary care providers and high-performing specialists for value-based care program participation using intelligent analytics.

  • Establish administrative support processes for measuring program results and managing payment distribution and reconciliation.

Impact Population Health With Value-Based Strategiest

  • Assess Quality and Outcomes

    • Determine optimal care models by analyzing your local market, assessing factors such as demographics, SDOH-related needs, insurance coverage, and the number of independent vs. employed physicians.
    • Rely on our expertise in care model design and implementation to launch a value-based reimbursement model such as bundled payments, pay for performance (P4P), or patient-centered medical homes (PCMH).
    • Align payments with cost, quality, and outcomes by analyzing your claims data; establishing financial, quality, and efficiency benchmarks; and integrating existing models of care with new models. 

  • Engage Members and Physicians

    • Leverage our consulting expertise for both payer contracting and third party payer contracting to help your business grow. 
    • Nurture provider trust by sharing timely, transparent quality and performance metrics; identify opportunities for performance improvement and improved patient care decisions. 
    • Facilitate provider participation in new care models with customized engagement strategies incorporating data analytics, educational outreach, experience surveys, and utilization and quality metric performance. 
    • Create communication campaigns to encourage members to choose high-quality, low-cost providers and services. Use predictive analytics to identify rising risk members and help close gaps in care.  

Our outcomes

View all insights

Infographic

Healthcare Consulting Core System Replacements

Infographic

Healthcare Consulting Core System Replacements

Discover 10 guidelines for your next core system replacement process via our tenured healthcare-consulting experts.

Learn More

On-demand Webinar

Introducing Change Healthcare Cardiology version 15.0

On-demand Webinar

Introducing Change Healthcare Cardiology version 15.0

Join the Cardiology PACS Revolution by learning about Cardiology version 15.0

Learn More

On-demand Webinar

Optimize Imaging Ordering with CareSelect Imaging Analytics

On-demand Webinar

Optimize Imaging Ordering with CareSelect Imaging Analytics

Discover how CareSelect® Imaging analytics helps optimize image ordering, reduce provider red-rate, improve patient outcomes, and streamline authorizations.

Learn More

PRODUCT SUPPORT

Need support for
this solution?

Get support
Explore related solutions

Resources

Join Community discussions

Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success.

Let’s start a conversation

We’re here to help you find out how this solution could benefit your organisation. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.