A health plan partner that helps drive your success.
Today's healthcare market is changing rapidly, so you need a different kind of partner that understands your business and can implement customizable solutions to fit your organization's unique needs.
With a deep understanding of your industry and a variety of service options, we are uniquely positioned to be your valued business advisor. We provide senior level industry guidance and strategic alignment every step of the way. Helping you to break down the complexity of your current situation and objectives into manageable pieces, so that you can achieve real progress in a pragmatic, common-sense way.
Our truly unique approach has us delivering projects "with you" not "to you," and our equal focus on process, organization and technology integration provides a refreshing alternative to both large consulting organizations and vended software solutions.
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Risk optimization
Risk optimization is all about accuracy, quality and a prospective view of risk and opportunity – rather than a retrospective one.
Our approach enables you to build sustainable, constantly improving risk adjustment, care management and quality programs. We empower you with insights built upon your data, with advanced algorithms you own and can use to address your risk adjustment challenges individually or to improve performance across all of your risk adjustment, care management and quality programs.
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Payment transformation
Now more than ever, customers are demanding better quality and more cost effective care. Value-based program adoption is a strategic imperative for health plans today.
From analytical models that value incentive earnings, to platforms that allow collaboration on actionable insights, to core operations that support value-based strategies, we understand the challenges involved with enabling your value-based program strategies. By applying the Baker Tilly solution framework, you can operationalize a single program or scale to a full panel of programs that you need in order to enable your strategy.
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Consumer engagement
Effective consumer engagement is critical to success in today's healthcare environment as it is essential to a health plan's ability to deliver on the financial, population health and member satisfaction metrics their clients require. We work with our health plan clients to build the right mix of processes and technology to create real consumer centricity.
Together, we will design and build the right mix of capabilities to help you understand your members' needs, predict their behaviors, and proactively and effectively engage them across a variety of purchasing, health management and care seeking activities. Our proven approach will help you to build a sustainable, constantly improving consumer engagement capability.
Additional support for healthcare transformation.
- Build operational capabilities to drive foundational enhancements to support initiatives or quickly respond to new regulatory mandates.
- Respond to shifting customer expectations in transparency and access to care.
- Address the need for a more agile workforce.
- Define and build new financial risk sharing models that "bend the cost curve" while supporting the quality of care improvements.
- Assist public, mutual and private insurance companies meet their compliance requirements and manage cash and investments effectively.