Risk Management: P4P, Episodes & Capitation

While Accountable Care Organization (ACO) is a good general descriptor, there are many different types of emerging risk-based models, ranging from simple Pay-for-Performance (P4P) to full global capitation. Most organizations are looking at models somewhere in between, based on either episodes of care or population bundles.

With the complexity of these risk or value based contracts increasing every year, sophisticated tools are needed to track the performance of each physician and organization as a whole to improve guideline compliance and to maximize revenue.

The MedVentive Solution

MedVentive works with a wide array of physician groups to deploy a comprehensive, end-to-end solution tailored to their risk management needs. While ACO is a good catch-all label, there are many different flavors of risk taking emerging, ranging from simple Pay-for-Performance to full global capitation. MedVentive Risk Manager helps our clients focus on what they need to manage their risk contracts with payers or employers successfully.

Our solution has moved clients’ performance from below-average to some of the top-performing providers in healthcare. (We also excel at the biggest challenge: helping high-performers do even better … faster!)  Those higher levels of performance have brought MedVentive clients increased bonus payments that can pay for the solution in the first year alone, delivering a rapid ROI.

The Challenge

You need to figure out where your organization stands on the delivery continuum.  Chances are, it's shifting from fee-for-service care to risk-based health management of entire populations as part of a collaborative, clinically integrated Accountable Care Organization (ACO) or other form of risk-bearing network.

MedVentive Value

Our industry-leading solution calculates and tracks clinical measures and delivers patient-specific intervention recommendations that enable your physicians to proactively manage their quality, utilization and other incentive scores throughout the year. We also deploy tools that allow you to efficiently model risk programs, audit outcomes, adjudicate internal incentive programs and publish detailed performance reports for full transparency. 

Our advanced features improve patient care and help your organization achieve performance-based incentive payment goals.

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