Guidehouse Designates US Markets Ripe for “Payvider” Adoption and Growth
The
"The rules of the game for delivering high-quality, cost-effective, consumer-centric care are changing, and healthcare organizations are at an inflection point," said
To help payers and providers broadly understand where they can most effectively uncover opportunities for payvider models, Guidehouse evaluated more than 100 US markets with a population of 500,000 or more based on market size and future growth, as well as current-state value-based payment performance. The Payvider Market Index identified markets that are ripe for payviders, those with potential for greater scale, and those that need the capabilities to better manage risk.
According to the Index, the
"The
The report discusses why now is the time for payers and providers to form aggressive shared-risk arrangements that take advantage of opportunities in their market. For example, 40 states are leveraging managed care models to deliver Medicaid services. Additionally, Medicare Advantage has become the fastest-growing health insurance market segment.
"As we've seen with Medicare Advantage and managed care organizations, key to success is a competitive market with payer and provider arrangements that share the financial benefits of quality and efficiency improvements, support innovations in care, and enhance the member experience," said
The full report lays out strategies for building successful payvider business models focused on the Triple Aim, including how to strategically, financially, and operationally align scorecards to put members first, as well as the capabilities needed to initiate successful negotiations, member enrollment, and point of care transitions, payment, and coordination. Guidehouse works with payers and providers to identify market opportunities in detail to design and implement innovative risk-based payment and care delivery strategies, partnerships, and models.
Learn more and download the full report here: http://bit.ly/payvidermarketindex.
Guidehouse
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About Guidehouse
Guidehouse is a leading global provider of consulting services to the public and commercial markets, with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures by focusing on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a
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