Collaborations
We are expanding our clinical model through collaborations with visionary organizations that aspire to lead the industry in care delivery.
We seek leaders who identify value-based care delivery as a top strategic priority, embrace a patient-centric culture, show a passion for clinical innovation, and demonstrate a willingness to challenge the status quo clinical and economic model of today’s healthcare environment.
Example profiles of potential collaboration organizations include:
- Large integrated health systems that want to establish a viable, long-term value-based care delivery platform
- Medicare Advantage plans seeking stability and clinical excellence
- States and Medicaid managed care plans interested in developing new Medicaid, dual and MMP programs
- Large companies seeking to bend the cost curve for employer sponsored health insurance
- Foreign national health departments who seek change for their country’s care delivery model
Clinical Focus
Clinical Model &
Capability Development
Clinical and care delivery protocols (complex care coordination, case management, acute and post-acute episode management, discharge and readmission planning, chronic disease management, frailty management, behavioral health integration, patient acuity assessment)
Organizational Focus
Clinicial Alignment & Engagement
- Network design and development
- Physician compensation
- Facility reimbursement
Organizational Transformation
- Oversight and guidance for all collaborative relationships
- CareMore Academy (training for physicians and non-physicians)
- Human capital including recruiting, staffing, and incentive design
Operational Focus
Financial & Risk Management
- Risk/HCC coding support (“Healthy Start”)
- Tracking of value-based activities and utilization
- Disbursement of value based payments
Commercialization
- Risk contracting and value based contract management
- Product strategy and execution including benefit design, sales/distribution and marketing
Analytics & Infrastructure
- NextGen/EMR, HiE solutions
- End-to-end, proven clinical platform with embedded clinical protocols
- Financial, clinical, and operational data informatics, tools and reporting
- MSO services and health plan back office functions (e.g. claims, utilization management, eligibility, member and provider services)