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WHAT WE DO

Services

VBC Strategy & Planning

Discover the financial growth potential of organization through value-based care with Value Health Innovations, LLC. Our expert team will help you strategically position your organization to benefit from financial incentives. We create customized strategic plans tailored to your unique needs and goals, ensuring you have an actionable roadmap for success. Our collaborative approach focuses on measurable outcomes, empowering you to enhance patient experiences while reducing costs and improving overall results.

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Mandatory Bundles APM

Our consulting services are designed to support hospitals in effectively preparing for and implementing all APM bundle models. VHI offers operational guidance and strategic insights, helping to navigate the complexities of these frameworks. Key services include the development of primary care referral programs to enhance patient care, comprehensive support for TEAM model implementation and compliance, and proactive identification of challenges and to improve care delivery and achieve cost savings.

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VBC Operations

Enhance your value-based care performance with our operational guidance and support services, tailored healthcare providers of all sizes. Our expert team evaluates your organizational processes, develops a customized action plan, and offers ongoing support, allowing you to concentrate on delivering quality care. We also provide interim project support and staffing coverage as needed. At Value Health Innovations, LLC, we identify critical improvement areas and practical solutions that drive efficiencies and improve patient outcomes.

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Nonemergent Care Planning

At VHI, we aim to reduce avoidable ER visits vulnerable patient populations by facilitating same-day primary care access through local resources. Our patient-centered care team models emphasize collaboration among ER staff, physicians, care managers coordinators, and navigators. Through these efforts, we've implemented effective ED diversion plans that have saved millions in uncompated care and led to a remarkable 32% decrease in ER utilization, significantly improving outcomes for those in need.

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Decoding APM Regulations

Our expert team simplifies the complexities of alternative payment models and regulations for healthcare providers. With years of experience, we guide you through strategic review, application, and implementation, ensuring your operations align with evolving industry standards. We prioritize collaboration with industry experts to provide tailored guidance that fits your value-based care strategic plan, making the navigation of these models an easy and seamless process. Let us help you achieve smooth program operations with our dedicated support.

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Training & White-Label Services

Value-based care expertise can be delivered seamlessly under your brand, providing tailored education for your team. We offer engaging presentations, comprehensive training, and white-label advisory services designed for seeking depth and insight without the need to increase headcount. Our solutions empower your team with the knowledge and skills they to excel, all while maintaining your brand identity. Let us help you enhance your capabilities and achieve your goals efficiently.

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Network Configuration & Contracting

  • Network Assessment

  • Network Adequacy & Integrity

  • Risk Based Contracting

  • VBC Contracting

  • Post-Acute Care Network

Performance Improvement

  • Risk Score Capture

  • Care Management Design

  • Emergency Department Diversion

  • Utilization and Cost Management

  • Member Attribution & Retention

  • eCQM Reporting & Performanc

Regulatory Awareness

  • Value-Based Program Regulations

  • MACRA - MIPS and APMS

  • Quality Reporting

  • Nonemergent Care Plans

  • New CMMI Models

Payer Programs

  • Medicare Shared Savings Program

  • Medicare Advantage

  • Commercial

  • Medicaid & Uninsured

Medicare Shared Savings Program

Create a new entry MSSP or support existing MSSP for enhanced performance

Commercial

Multi-payor value-based programs: care coordination fee, pay for performance, and risk-based arrangements

Medicare Advantage

​Pay for performance, risk based, and capitation

Medicaid & Uninsured

TX 1115A Waiver Program, Delivery system reform incentive payment program, emergency department diversion

Customized Service, Delivering Experience & Expertise

Let us help you!

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