Managing Risk in a Value-based Environment

The successful implementation of value-based contracts requires the strategic development of infrastructure supports necessary to improve health outcomes and manage costs. 


Clinical and operations teams must collaborate to meet clinical and financial performance targets and develop effective approaches to improving the quality and cost of care.  Technology infrastructure resources must support the unique design of the medical management program and provide a seamless integrated process across teams for:

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Care management of patients with physical, behavioral, and social care needs

Timely and actionable clinical decision-making and authorization of services

Informing all stakeholders, including members and their providers

Documenting and extracting data to meet reporting compliance requirements



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