Value-Based Payment Insights and Support for Providers
What Your Organization Needs to Succeed in Risk-Based Arrangements
Wakely, an HMA Company, partners with providers across the healthcare landscape — from Medicare Advantage and MSSP to ACO REACH, commercial, and Medicaid value-based programs. Our experts provide comprehensive analytical, actuarial, and financial support to help organizations thrive in value-based arrangements.
We publish quarterly updates featuring actionable strategies, regulatory developments, and data-driven perspectives to help providers succeed in today’s evolving value-based landscape.
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ACO Foundations: Four Pillars for Successful Risk Management in Value-Based Contracts
Strategic Approaches for ACOs to Navigate and Thrive in Value-Based Care
Value-based contracts (VBCs) have rapidly become the cornerstone of the transition from fee-for-service to outcomes-focused reimbursement in the US healthcare system. While these risk-based contracts offer the potential for significant financial upside, they require robust strategies to manage and mitigate risk. This white paper outlines four foundational pillars for risk management that ACOs must address to achieve sustainable performance: Underwriting and Contracting, Risk Adjustment, Medical Economic Reporting, and In-Year Forecasting. Each pillar is vital to effective risk management, improved patient outcomes, and financial sustainability.
