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Monitoring

Kevin Coonan
MBA
Principal
David A. Gregory
Principal
Michael J. Patti
Principal

VBC programs require continuous monitoring and optimization efforts to ensure strategic objectives are met and performance does not atrophy over time.

Our team of experts can work with your organization to ensure you have the necessary tools to track success and optimize performance of your VBC programs.

Program monitoring and optimization

Post launch, VBC programs require continuous monitoring and optimization efforts to ensure strategic objectives are met and continuously evolve with program and provider maturity, and that program performance does not atrophy over time.

How we can help:

Definition of program monitoring approaches – we support the definition of techniques to monitor VBC program performance over time to support governance decisions around program modification, expansion, or retirement.
Monitoring capability build – we can develop analytical models to enable the ongoing regular execution of monitoring analysis to support regular insight into program performance.
Program model expansion – we can work with your organization, in anticipation of VBC contract renewals and/or major program definition upgrades, to leverage the results of monitoring to help identify when programs or participating providers are ready to enhance existing quality and/or cost targets or move to more mature models such as downside risk.

Provider continuity

Maintaining a strong provider relationships is critical for a VBC program to be successful. VBC programs are successful when health plans and the participating providers are closely aligned and working together to accomplish the program's defined goals.

How we can help:

Provider adoption of VBC programs – we can help your organization understand and respond to provider adoption issues through monitoring and analyzing provider interaction with reporting systems and drawing insights from provider feedback and questions.
Provider partnership support – we can help support partnerships that your providers have with life science and pharmaceutical organizations. We understand how provider's partnerships affect the overall cost of care and work to integrate program modifications across both medical and pharmacy domains to improve the population health while supporting a trend in cost reduction.

Continuous technology and operational enhancements

VBC programs require continuous monitoring to ensure the operational and technology capabilities are sufficient to enable the increased volume of membership and provider participation and evolving VBC program objectives.

How we can help:

Technology enhancements – we support the identification of technical enhancement requests as demanded by ongoing operations or program expansion. We assist in monitoring and developing a process to facilitate, prioritize, and integrate technical enhancements with current value based care systems.
Operational enhancements – we help identify areas of operational improvement within your value based care organization. We ensure that operational enhancements are fully implemented through change management initiatives.

Business enabler support

Business enablers consist of operational teams who keep a Health Plan’s VBC program portfolio running. It can be challenging to manage the complex systems and teams involved that work to enable the VBC program.

How we can help:

Organizational transparency – we ensure all affected business units are working towards the same end result. We help facilitate working sessions to create a strategy for any program modifications. We help create effective systems to maintain the transparency between leadership and operational units through status report development, newsletters, and memos.
Continuous feedback model – we understand that as network providers adopt VBC programs, ad hoc inquiries and questions may arise. We assist in both creating and monitoring standard communication pathways where business enablers from both the Health Plan and network provider can relay questions, concerns, and suggestions.

Payment Transformation Solution Framework

Now more than ever, customers and program sponsors are demanding better quality and more cost effective care. Value Based Care (VBC) program adoption is a strategic imperative for health plans today.

Payment Transformation
Now more than ever, customers and program sponsors are demanding better quality and more cost effective care. Value Based Care (VBC) program adoption is a strategic imperative for health plans today.
Feasibility
Value Based Care program initiation requires defining program objectives that are feasible for your organization and partnering organizations. Baker Tilly can work with you to help define objectives and identify gaps necessary for closure to pave the way for success of new Value Based Care programs.
Design
Value Based Care programs design must focus on the critical success factors necessary to support a sustainable health plan and provider relationship. Baker Tilly can work with your organization and partner providers to design new program using our Value Based Care definition methodology.