Value-Based Care Strategy

Succeeding in value-driven payment models requires fresh insights and new perspectives that enable organizations to break from the historical fee-for-service paradigm while building on expertise and capabilities already in place.

In an industry where economic models are increasingly rewarding alignment with the premium dollar, organizations that can update their business model in strategic and pointed areas will increasingly be rewarded with opportunities. A successful value-based care (VBC) strategy aligns an organization’s capabilities to create value with its economic models to capture value.

Sg2 Areas of Expertise

Sg2 leverages its expertise in organizational partnerships to drive success in VBC through custom strategies and structures that enable organizations to capitalize on new opportunities for creating and capturing value across all payer classes.

Value-based Care Organizational Assessment

Our Core Competencies assessment provides a proprietary framework for evaluating an organization’s VBC infrastructure capabilities and gaps against the Triple Aim goals of:

1. Improving population health
2. Enhancing patient experience and outcomes
3. Bending the health care cost curve

 

Medicare Fee-for-Service

Enhancing Oncology Model (EOM): EOM aims to enhance the quality of care provided to cancer patients covered under Medicare Traditional while reducing Medicare fee-for-service expenditures. Learn more about EOM.

ACO REACH (Realizing Equity, Access, and Community Health): ACO REACH is the redesigned and renamed Direct Contracting (DC) model. Similar to its predecessor, ACO REACH is designed with two risk-sharing options in mind and focuses on empowering beneficiaries, reducing provider burden and accelerating risk assumption. Learn more about ACO REACH.

Related articles

Dive deeper into how Sg2 can help your organization:

• Blog Post: Will 2023 Be the Year That You Fully Embrace Value-Based Care?
• Blog Post: Why Start Now? Care at Home Provides Value Beyond Cost Savings
• Blog post: Look Beyond MSSP Policy Changes for Long-term Success in Value-Based Care, and related video series, Sg2 Experts Explain Changes to the Medicare Shared Savings Program
• Blog post: Value-Based Care Economics Are More Compatible With Fee-for-Service Models Than You Realize
• Blog post: It’s Time for Providers to Reevaluate Clinical and Economic Models for Value-Based Care
• Blog post: MSSP Season Is Here! Should You Participate, and if You Participate, Are You Prepared for Downside Risk?
• Blog post: ACO REACH Is Here! How Will It Impact Your Value-Based Care Strategy?
• Blog post: Direct-to-Employer Contracting: Understanding the Value of “Value”
• Podcast: Direct-to-Employer Strategies: Helping Employers Achieve Better Value

 

Help with your journey to risk is a click away.
Request more information or to speak with an Sg2 value-based care expert.

 

Our Experts

		Tawnya Bosko, DHA, PhD Senior Principal, Sg2 Consulting A nationally recognized expert, Tawnya Bosko partners with clients to develop successful value-based care enterprise strategies and provides program-specific guidance on financial modeling and physician-hospital alignment.
		Keely Macmillan, MS Associate Principal, Sg2 Consulting Keely Macmillan leads engagements that assist health care organizations’ transition to value-based payment and delivery models, partnering with provider organizations to identify and implement strategies for success in alternative payment models, including shared savings arrangements, capitation and episodic payments.
		Joe Maher, CPA, MBA Associate Principal, Sg2 Consulting Within value-based care, Joe Maher partners with organizations to bring together advancing economic models and structures that align with the organization’s clinical care delivery approach.
		William Ringwood, MBA Senior Director, Sg2 Consulting Bill Ringwood specializes in financial planning and forecasting for value-based care, physician alignment, managed care contracting and payer strategy initiatives.