Value transformation and payer-provider alignment

Sustainable healthcare growth

Navigating the complex healthcare landscape requires strategic alignment with payer and employer needs. Our value transformation and payer and provider offerings equip you with strategic tools and insights to enhance your operational and financial performance in the healthcare sector. These comprehensive services enhance your operational and financial performance through strategic engagement with payers and employers. Our team assists you in developing effective payer strategies, crucial for both fee-for-service and value-based care models. Additionally, analytic services are provided to inform your decisions with insights into market competition and quality outcomes.

Our approach not only helps manage costs but also improves patient outcomes and satisfaction, making you a preferred partner in your market. Let's work together to transform your strategies and align them with the evolving needs of payers and employers, driving sustainable growth and enhanced care delivery.

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Drive excellence in healthcare through value transformation

Value-based care

As the healthcare landscape evolves, it's essential for your healthcare organization to embrace a value-based care (VBC) strategy to not only thrive financially but also enhance patient outcomes. Shifting from a fee-for-service model to value-based care means you can concentrate on reducing costs, improving patient results and elevating the quality of care. This transformation leverages data analytics and innovative patient management techniques to better payer relationships and care delivery.
The dynamic nature of VBC means you need to be agile, constantly adapting to new challenges and seizing opportunities as they arise. Economic pressures, shifting consumer expectations and regulatory changes compel you to continually refine your VBC strategies. By focusing on areas like Medicare Advantage and direct-to-employer arrangements, and integrating cutting-edge technology and high-quality care models, you can significantly enhance your operational efficiency and financial performance. This strategic emphasis not only helps you navigate current market challenges but also equips you to effectively manage future shifts in the healthcare sector.
Learn more about Value Based Care strategy.

Organizations that are successful in their value transformation are able to create alignment between their care delivery, operating and financial models.

William Ringwood

Associate Principal, Vizient

Payer and employer strategy

As you navigate the complex healthcare market, it's crucial to have clear strategies for interacting with payers and employers. These strategies are key to enhancing both your financial and operational performance. Direct-to-employer contracts and value-based care are vital, allowing you to collaborate directly with employers who are keen on controlling rising healthcare costs and improving the quality of care for their employees. By building strong relationships with local employers and staying attuned to market trends, you can tailor your services to meet their specific needs, boosting patient engagement and satisfaction.
Data and analytics play a pivotal role in crafting effective strategies with payers. By utilizing data, you can assess risks, measure quality and set competitive prices. These elements are crucial for negotiating with payers and for securing a spot in high-performance networks. These strategies align the interests of providers, payers and patients and support financial stability through payment models that reward quality and efficiency. Adopting a strategic approach to engaging with payers and employers positions you as a preferred partner in your market, leading to improved health outcomes and controlled costs.

Having strong, trusted relationships can help health systems earn a spot at the table as a partner with a solution rather than risk being viewed as a contributor to the problem.

Joe Maher

Associate Principal, Sg2

Health plan advisory

As you delve into the intricacies of health plan management, it's important to harness expert guidance and analytical prowess. Vizient Health Plan Advisory Solutions offers specialized support in navigating the challenges of health plan feasibility, strategic development and market positioning. These services are crucial for crafting strategies that not only enhance your market presence but also bolster both your financial and operational health.
By focusing on services like plan feasibility, strategic planning and operational improvement, Vizient helps you refine your approach to managing growth and margins and identifying operational efficiencies. This strategic alignment allows you to enhance service delivery, ensuring high-value care that aligns costs, quality and market performance. Ultimately, this positions you as a leader in the healthcare market, ready to meet the evolving needs of your customers and achieve improved health outcomes while controlling costs.

High value network

Imagine a network where top healthcare providers across the nation unite to deliver high-quality, value-based care tailored just for you. The High Value Network is designed specifically for self-funded employers who are eager to cut healthcare costs while boosting the health and satisfaction of your employees. HVN zeroes in on crucial areas such as cardiac care, orthopedics and bariatrics, offering bundled payments and a 30-day warranty for readmissions related to the original surgery. This provides a cost-effective solution for managing your healthcare spending.
High Value Network stands out by emphasizing transparency, quality and access, helping you fully understand the cost savings and health benefits available, aligning perfectly with your needs to control rising healthcare costs and enhance employee productivity and satisfaction. By providing access to top-notch care, High Value Network not only meets but exceeds expectations.
Learn more about the Vizient High Value Network.

Employers hold the key to shaping healthcare for their employees, and in today's dynamic landscape, employer-provider relationships require not only innovation but partnership.

Karen Decaran-Voigt, MBA

Principal, Vizient

Managed services and analytics

Providers are being asked to take on more financial risk by payers, moving from fee-for-service to value-based care across all lines of business. Health systems need a strategic partner and a network of peers to help navigate their readiness and market conditions for taking on this risk. Using a data-driven approach, Vizient partners with providers and payers to develop a roadmap for moving to value-based care.
Value-based managed services from Vizient offers solutions through two avenues: the Value Transformation Alliance and subscriptions to cutting-edge technologies to manage performance on risk contracts. With a focus on delivering data-driven insights and clear, actionable recommendations, Vizient helps you navigate the complexities of the managed care environment effectively, avoiding common pitfalls and achieving both immediate and long-term success.
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