Plot Your Course

Value-Based Health Care is in full implementation mode across the spectrum of health care. But determining the best participation option for your organization depends on your goals.

Value-Based Models aim to reward health care quality and efficiency gained by risk-based payments and incentives. Medicare and Medicaid Alternative Payment Models (APMs) create provider accountability through shared savings or capitation reimbursement, while also requiring compliance with quality measures. Roji Health Intelligence supports Value-Based payment models such as:

  • Accountable Care Organizations (ACOs)
  • Comprehensive Primary Care Plus (CPC+)
  • Bundled Payment Collaborative Initiative (BPCI)
  • Primary Care First (PCF)
  • Direct Contracting (DC) and Population-Based Direct Contracting with a Medical Group Model
  • CMS Innovation Center APMs: Oncology Care Model (OCM), Radiation Oncology Model (ROM), End Stage Renal Disease Treatment Choices Model (ETC), and Medicare Diabetes Prevention Program (MDPP)
  • Medicare Advantage

If you are not yet ready to participate directly in risk-bearing APMs, your Value-Based Health Care participation options may blend traditional Medicare Fee-for-Service payments with Medicare Merit Incentive Payment System (MIPS) quality reporting, plus commercial health plan contracts that may include financial incentives or risk payments. Roji Health Intelligence is a qualified Registry for reporting quality measure results to Medicare for eligible providers and ACOs.

Whether your organization is ready for Risk or your focus is on achieving Value within the traditional payment system, Roji Health Intelligence can help you design your strategy for Value-Based Health Care:

Expert consultation from Roji Health Intelligence will help you develop a practical, cost-effective path to meeting these goals through the Roji Registry and our Solutions. If you need more help in defining your route, call in Roji Strategic Consulting. We make Risk a viable path by organizing the analytics, technology, physician curriculum, leadership development, and patient initiatives you need for your organization to excel.

Take the first step to build your path to success.

Contact Roji Health Intelligence