Filtering out the noise and focusing on what is most important and impactful is complicated, and if not done thoughtfully, can inform misguided business decisions. Our insights simplify the complex and drive focus on the most relevant strategic and operational factors.
Benefits designed to steer patients to a defined network of high value providers
Healthcare organization with payer and provider capabilities
Single capitated rate for all services
Single capitated rate for a defined set of services
Financial risk for a population of patients
Financial risk based on an episode of care
Per Member Per Month payment for healthcare services
Upside only models where healthcare organizations share in savings generated
Healthcare providers delivering services paid directly by the consumer
Healthcare providers contracting directly with a self-funded employer
New model where entities accept risk for original Medicare beneficiaries
Private companies offering Medicare-approved healthplans
