As providers strive to meet the goals of the Triple Aim—the concept of simultaneously providing a great patient experience with quality outcomes, reducing cost, and improving the health of patient populations—the way providers are paid by government and other payors is rapidly changing. In turn, this is changing the way care is delivered. At Health Dimensions Group (HDG), our team of experts is ready to help you navigate the complexities of value-based payment and care transformation, from understanding and planning for the changes to changing the way you deliver care to position your organization for success.
Bundling Advisement and Implementation
The Bundled Payments for Care Improvement (BPCI) program, as well as mandatory Episode Payment Models (EPMs), have emerged as powerful tools in promoting value-based transformation. Our bundling team assists providers in directly taking risk under these new payment models through our expertise with programmatic requirements, sophisticated data analysis and benchmarking, and guidance on optimal care redesign. Our bundling services include state-of-the-art analysis of upstream and downstream providers and advisement on design of gainsharing approaches.
Value-Based Positioning and Contracting
A comprehensive understanding of your market is paramount in assessing risk, estimating impact, and determining repositioning as a preferred provider. We help you understand your unique market dynamics through consultation and advisement following internal and external data collection and analyses. Such evaluation determines how best to position you to succeed in the market and be at the front of the line with value-based partners. In addition, HDG can assist you in contracting with payors and other providers in the care continuum.
Alternative Payment Model Development
HDG assists payors and providers in designing cutting-edge alternative payment models. This process involves assessing your organization’s needs and carefully working through the creation of aligned payment and operational incentives designed to achieve and promote beneficial outcomes. This work encompasses the operational, financial, and contracting considerations needed for models to be successful.
As a National PACE Association technical assistance center (TAC), HDG offers a full range of consulting services to prospective and operating Programs of All-inclusive Care for the Elderly. Our PACE experts support your new program with market and financial feasibility studies, business plan development, and assistance with application submission to the Centers for Medicare and Medicaid Services and your state. HDG also provides start-up and implementation assistance. Support for established PACE programs includes strategic planning and positioning, market penetration studies, program expansion feasibility and application assistance, operational assessments and performance reviews, and financial assessments with benchmarking.