Direct Contracting Model Solutions

From Assessment to Implementation and Performance Management

How we can help you

1. DC Assessment – Is this the right model for you?
2. Provider Selection and Preparation
3. Performance Improvement

Request A Meeting

ACO Next Gen Participants

With the recent announcement from the Center for Medicare and Medicaid Innovation (CMMI), Next Generation Accountable Care Organizations can now apply for the standard track of the Global and Professional Direct Contracting Model.

Whether you have opted to become a Direct Contracting Entity (DCE) or not, we can help you make smarter decisions by using our data insights derived from one of the largest historical claims dataset available!

Go/No-Go Decision Support

If you are stressing about the upcoming CMS Direct Contracting Model application deadline for 2022, reach out to us today to see how you can take advantage of our DC Assessment toolkit which includes a benchmark calculator. The calculator helps you understand your historical performance against others and project performance year utilization in your market. Use it to make that go/no-go decision before submitting your roster.

Long-term Implementation and Performance Management Support

For existing DCE’s or those who have made the decision to apply, we can help ensure your long-term DC success with our implementation and performance management solutions:

Implementation

Provider Selection

  • Profiling of Participant Providers and Preferred Providers using DC alignment.
  • Utilization Analysis to understand alignment-treatment-relationships and inform preferred provider decision making.

Preparation
Understanding of cohorts of patients to prioritize for Voluntary Alignment (not-assigned, low coordination, poorly managed).

Operations

Performance Management

  • Processing of DC CCLF files to track progress and monitor internal initiatives.
  • Surfacing of potential opportunities for improvement through the life cycle of the model.

Re-Evaluation

  • Re-evaluate Participant and Preferred Providers profiling of Participant Providers
  • Analyze utilization trends to find and track Preferred Providers.

Talk with DCE Model Experts

Request Meeting