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Copyright©	
  2015	
  	
  HealthQx.	
  All	
  Rights	
  Reserved
Strategic	
  Insights	
  For	
  Value	
  Based	
  Payments	
  
1
Informing Bundled Payment & Accountable Care Strategies Through Actionable Intelligence
Copyright©	
  2015	
  	
  HealthQx.	
  All	
  Rights	
  Reserved
1) Identify	
  The	
  Right	
  Episodes	
  Of	
  Care	
  (EOC)
2
Health	
  plans	
  can	
  choose	
  the	
  right	
  episodic	
  opportunities	
  for	
  their	
  Value	
  Based	
  Payment	
  (VBP)	
  
initiatives	
  by	
  understanding	
  the	
  relationship	
  between	
  an	
  episode’s	
  frequency,	
  costs	
  and	
  variations.	
  
Your	
  Health	
  Plan	
  has	
  
the	
  ability	
  to	
  rapidly	
  
identify	
  and	
  continue	
  
targeting	
  the	
  right	
  EOCs	
  
that	
  align	
  with	
  your	
  
goals	
  to	
  improve	
  
quality	
  and	
  provide	
  
access	
   to	
  more	
  patient	
  
centric	
  care	
  while	
  
reducing	
  costs.
Copyright©	
  2015	
  	
  HealthQx.	
  All	
  Rights	
  Reserved
2. Engage	
  The	
  Right	
  Providers	
  – With	
  The	
  Right	
  Information
3
Successfully	
  scaling	
  VBP	
  initiatives	
   requires	
  the	
  ability	
  to	
  collaboratively	
  engage	
  the	
  right	
  providers	
  in	
  
contract	
  discussions	
  to	
  clearly	
  define	
  the	
  risks,	
  incentives	
  and	
  performance	
  targets	
  for	
  the	
  programs.	
  
Your	
  Health	
  Plan	
  has	
  
the	
  actionable	
  provider	
  
network	
  intelligence	
   to	
  
quickly	
  identify,	
  engage	
  
and	
  collaborate	
  with	
  
the	
  providers	
  that	
  can	
  
optimize	
  the	
  service	
  
delivery	
  of	
  your	
  VBP	
  
initiative.	
  
Copyright©	
  2015	
  	
  HealthQx.	
  All	
  Rights	
  Reserved
3. Enable	
  Flexibility	
  To	
  Get	
  To	
  The	
  Right	
  Approach
4
The	
  ability	
  to	
  centralize	
  VBP	
  program	
  management	
  across	
  multiple	
   initiatives	
  enables	
  improved	
  
flexibility	
   to	
  define:	
  episodes,	
  networks,	
  care	
  models	
  and	
  payment	
  methods.	
  
Your	
  Health	
  Plan	
  has	
  
the	
  capabilities	
  to	
  
change	
  the	
  design	
  of	
  
VBP	
  initiatives	
  to	
  
account	
  for	
  your	
  
organization’s	
  unique	
  
environment	
  and	
  
operational	
  processes	
  
to	
  improve	
  the	
  success	
  
of	
  your	
  VBP	
  initiatives.	
  
Copyright©	
  2015	
  	
  HealthQx.	
  All	
  Rights	
  Reserved
4. Improve	
  Your	
  Value	
  Based	
  Strategy	
  Through	
  The	
  Right	
  Insights
5
In	
  order	
  to	
  continuously	
  improve,	
  health	
  plans	
  need	
  rapid	
  access	
  to	
  information	
  to	
  enhance	
  value	
  
based	
  designs,	
  to	
  better	
  engage	
  with	
  their	
  providers	
  and	
  scale	
  reimbursement	
  operations.	
  
Your	
  Health	
  Plan	
  has	
  
strategic	
  visibility	
  to	
  
quickly	
  understand	
  the	
  
end-­‐to-­‐end	
  
performance	
  of	
  
multiple	
  value	
  based	
  
initiatives	
  and	
  make	
  
adjustments	
   as	
  the	
  VBP	
  
market	
  continues	
  to	
  
mature.	
  
Copyright©	
  2015	
  	
  HealthQx.	
  All	
  Rights	
  Reserved
Strategic	
  Insights	
  For	
  Value	
  Based	
  Payments	
  
6
If	
  you	
  would	
  like	
  to	
  contact	
  us,	
  please	
  send	
  us	
  an	
  email	
  at	
  info@healthqx.com
or	
  give	
  us	
  a	
  call	
  at	
  (610)	
  766-­‐7118.	
  

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Strategic Insights for Value Based Payments

  • 1. Copyright©  2015    HealthQx.  All  Rights  Reserved Strategic  Insights  For  Value  Based  Payments   1 Informing Bundled Payment & Accountable Care Strategies Through Actionable Intelligence
  • 2. Copyright©  2015    HealthQx.  All  Rights  Reserved 1) Identify  The  Right  Episodes  Of  Care  (EOC) 2 Health  plans  can  choose  the  right  episodic  opportunities  for  their  Value  Based  Payment  (VBP)   initiatives  by  understanding  the  relationship  between  an  episode’s  frequency,  costs  and  variations.   Your  Health  Plan  has   the  ability  to  rapidly   identify  and  continue   targeting  the  right  EOCs   that  align  with  your   goals  to  improve   quality  and  provide   access   to  more  patient   centric  care  while   reducing  costs.
  • 3. Copyright©  2015    HealthQx.  All  Rights  Reserved 2. Engage  The  Right  Providers  – With  The  Right  Information 3 Successfully  scaling  VBP  initiatives   requires  the  ability  to  collaboratively  engage  the  right  providers  in   contract  discussions  to  clearly  define  the  risks,  incentives  and  performance  targets  for  the  programs.   Your  Health  Plan  has   the  actionable  provider   network  intelligence   to   quickly  identify,  engage   and  collaborate  with   the  providers  that  can   optimize  the  service   delivery  of  your  VBP   initiative.  
  • 4. Copyright©  2015    HealthQx.  All  Rights  Reserved 3. Enable  Flexibility  To  Get  To  The  Right  Approach 4 The  ability  to  centralize  VBP  program  management  across  multiple   initiatives  enables  improved   flexibility   to  define:  episodes,  networks,  care  models  and  payment  methods.   Your  Health  Plan  has   the  capabilities  to   change  the  design  of   VBP  initiatives  to   account  for  your   organization’s  unique   environment  and   operational  processes   to  improve  the  success   of  your  VBP  initiatives.  
  • 5. Copyright©  2015    HealthQx.  All  Rights  Reserved 4. Improve  Your  Value  Based  Strategy  Through  The  Right  Insights 5 In  order  to  continuously  improve,  health  plans  need  rapid  access  to  information  to  enhance  value   based  designs,  to  better  engage  with  their  providers  and  scale  reimbursement  operations.   Your  Health  Plan  has   strategic  visibility  to   quickly  understand  the   end-­‐to-­‐end   performance  of   multiple  value  based   initiatives  and  make   adjustments   as  the  VBP   market  continues  to   mature.  
  • 6. Copyright©  2015    HealthQx.  All  Rights  Reserved Strategic  Insights  For  Value  Based  Payments   6 If  you  would  like  to  contact  us,  please  send  us  an  email  at  info@healthqx.com or  give  us  a  call  at  (610)  766-­‐7118.