Allegro Insights can help providers and payers write, negotiate, and manage value-based contracts. Our consultants have worked both sides of the problem (payer and provider) and can provide clarity for both sides.
"Value based care? When technology delivers actionable analytics into the hands of clinicians and decision makers, only then will we drive operational efficiencies, improved quality, revenue optimization, and truly transform healthcare." Colleen Greene, CEO, Allegro Insights
What's In It For Providers?
Capitalize on the revenue opportunities and alternative payment models
Additional payments for the extra care coordination services
Additional payments for the complexity of the patient population you service
Improvement in your quality measures
More attention from MCOs/payers
Less pressure to increase your daily patient volume in order to receive more revenue
What's In It For The Payers?
Improved HEDIS metrics
Avoid penalties for at risk HEDIS measures
Improved Risk Adjustment, resulting in higher "premium gains"
Lessen the burden for health plan staff (care coordinators, provider representatives, etc.
Stronger relationships with your valued provider partnerships
Aids health plan in meeting their MLR targets, cost savings, resulting in a decrease in over-utilization of emergency room, inpatient, testing for radiology, lab and other services based on providers managing the patient's healthcare cost utilization