Healthcare Provider Services
Accelerating the Transition to Value-Based Care
Health Value Associates provides value-oriented services for a variety of health care provider organizations, their physicians, and their care teams. These organizations include, physician practices, medical groups, hospitals, health systems, academic medical centers, ACOs, CINs, IPAs, quality institutes, and medical associations.
We help them to improve quality, performance, and efficiency; manage costs and reimbursement; improve patient and care team experiences; advance population health; and fully operationalize value-based care. Many are seeking to achieve these objectives by connecting the process of care to outcomes and cost.
We work with organizations as they address the complexities and uncertainty of a recovering and evolving health care marketplace and the challenges of delivering value and receiving sustainable outcomes-driven reimbursement. These challenges, among others, often include new access and care delivery models, new sources and increased velocity of data, the effective management of population health, the expansion or development of new value-based care programs, the advancement of upside and downside risk contracts. There is an increasing need for purposeful collaborations within the enterprise, with other providers, among commercial health plans and Medicare/Medicaid, and with the Community.
- Enterprise and organizational unit strategic planning
- Interoperability and alignment of IT solutions
- Data and analytics strategies
- Data governance, use, and disclosure policies
- Analytics and reporting frameworks
- Population health management
- SDOH and behavioral health integration
- Transitions of care and alternative delivery models
- Value-based care and reimbursement
- Advanced payment modeling
- Digital transformation strategy
- Empowering and leveraging existing resources
- Alignment of business objectives, strategies, and tactics
- Data and analytics capabilities assessment and gap analysis
- Population health program assessment and gap analysis
- SDOH and behavioral health data readiness
- Evidence-based best practice adherence
- Provider network and referral analysis
- Tracking and forecasting multiple value-based contracts
- Cost-of-care reduction opportunities
- Payer and provider market dynamics
- Value-based opportunity assessment and due diligence
- Strategy alignment and execution
- Innovation deployment and adoption
- Implementation plans and investment roadmaps
- Data ingestion, aggregation, and management
- Performance dashboards and KPI development
- Quality & performance analysis, reporting, and benchmarking
- Insight visualization and deployment
- Processes for improving quality and performance
- Improving care transitions, alternative care sites, and the coordination of care
- Clinical/claims data integration
- Advanced risk assessment & impactability processes
- Cost-of-care analytics
- Vendor profiling, selection, and engagement
- Data governance and best practice programs
- Care delivery process and workflow optimization
- Population Health program improvement
- Clinical decision support optimization
- Quality and performance improvement
- Digital Health enablement and Integration
- Insight deployment and innovation adoption
- Risk adjustment, stratification, and HCC optimization
- Cost-of-care reduction processes
- Physician network optimization
- Concurrence on defining and measuring “value”
- Harmonizing quality, utilization, and cost metrics
- Data, insight, and best practice sharing
- Physician and patient collaboration portals
- Best practice sharing and collaborative learning
- Collaboration development and evaluation
- Enterprise and external collaboration management
- Payer-provider joint analysis and insight sharing
- Payer-provider alignment and collaboration
- Partnerships and Strategic Alliances
- Business planning and impact analysis
- Business intelligence and competitive analysis
- Vendor profiling and selection
- Payer-provider collaboration, partnerships, and joint ventures
- Data sharing and data use agreements
- Community and community health engagement
- Contract development and negotiation
- Clinical integration and value-based network development
- Payer relationship development
Samples of Health Care Provider Successes
Nationwide Data Sharing, Population Health Analytics, and Collaborative Learning for the American Medical Group Association (AMGA)
Data, Analytics, and Reporting Program for PCMH Practice Transformation for the Rhode Island Quality Institute (RIQI) Beacon Community Program
Population Analysis, Reporting, and Visualization of Quality, Performance, and Cost-of-Care for MSSP ACOs
Optimizing the Use of Tools Supporting Population Health
Management and ACO Development
Evaluating and Improving Adherence to Evidence-Based Best Practices
Multiple Health Plan Collaborations to Improve Care Processes, Outcomes, Cost, and Value-Based Contracting