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Value-Based Care Managed Services 2016

Value-Based Care Managed Services 2016
Technology-Enabled Services to Support Your Transformation to Value

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As the healthcare market shifts from fee-for-service to value-based care (VBC), many provider and payer organizations have been left feeling that they are playing a game with constantly changing rules and which they have little chance of winning. For help handling the immense complexity of transitioning to a new business model, many such organizations turn to value-based care managed services firms. The first chart below shows several key factors organizations will want to consider when choosing a firm, including type and scope of work performed, experience with VBC initiatives, average size of client organizations, lives covered in VBC programs, and overall performance. Also important are how the firms perform in each of the five VBC pillars as well as what clinical and financial outcomes their customers have achieved.

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  1. Vendor DNA—Understanding Your Firm’s Capabilities and Scope
  2. VBC Transformation: Lumeris and Premier Reduce Complexity; Guidance from Conifer, xG Health Underwhelms
  3. Few Firms Stand Out Across Key VBA Pillars; Valence Health Lags in All Three
  4. Full-Service Lumeris, Evolent & Focused Premier Drive Improvements in Financial & Clinical Outcomes
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2018 KLAS Enterprises, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.