Prepare the comparison
Claims preparation, episode definitions, and documented comparison methods.
For value-based-care, strategy, and finance leaders
Value-Based Care & Risk Economics
Assess payment-model opportunity before committing resources. We use claims to examine episode costs, care pathways, and prospective partners, with the assumptions and estimates available for review.
Book an opportunity reviewWhere we can help
Episode economics
Examine spending and utilization across the care pathway and compare scenarios using documented payment assumptions.
Partner assessment
Compare hospital and service-line opportunities, including the data limitations that affect the ranking.
Decision support
Develop applications and presentations that connect the analysis to commercial planning and operating decisions.
Compare the economics of different care pathways
Payment-model economics
Prepared claimsA defined episode of careSpending + utilization
CompareCurrent pathway
ModelAlternative pathway
Partner & service-line comparisonSensitivity to the assumptions
Analysis applications & reporting
Model the pathways
Models of spending, utilization, and potential changes in care pathways.
Test the opportunity
Partner and service-line comparisons with sensitivity analysis.
Put the analysis to work
Applications, reporting, and documentation for the client team.
Payment-model opportunity analysis
For a value-based-care venture, we modeled approximately seven million Medicare episodes and built applications for hospital opportunity assessment, care-pathway economics, and prospective-partner presentations. Opportunity estimates describe modeled economics, not realized savings or guaranteed contract performance.
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Which payment-model decision are you weighing?
We can examine the claims, assumptions, and care-pathway economics behind it.