Building a Value-Based Strategy

CareMount Health Solutions (CMHS) help providers develop and execute on a population health strategy including development of risk-based contract optimization, population health analytics, and clinical care redesign that transform group practice reimbursement models from fee-for-service to value.

Our value offerings allow physicians to achieve economies of scale and performance:

Our Value-Based Strategy offerings include:

Physician-based Risk Contracting and Management:  Expert guidance on risk contract participation and compliance including payment model administration, financial analysis, preferred provider network management and contract administration, coordination of clinical, care management, billing and coding services for commercial and government value-based contracts, including Accountable Care Organizations (ACOs).

Clinical Care Coordination and Quality Improvement Services: Staffing and tools to transform clinical workflows to thrive under risk-based contracts.  Enhanced patient engagement and point of care education on value-based programs.   Coach and implement a patient centered, team-based care model.

Population Health Data Analytics and Performance Management: Integrated and proprietary analytics platform focused on operational performance and actionable insights. Easy-to-use and focused on the operational metrics that drive performance: patient risk stratification, delivery system utilization and cost analysis, transitions of care, quality and revenue programs.

Preferred Provider Network Development: Improve managed care contracts by repositioning the physician at the center of care delivery. Position the group practice for total cost of care risk and capitation, but at the right pace and timeline and with appropriate financial protections in place.