The transition from fee-for-service to alternative payment models continues with the Centers for Medicare and Medicaid Services (“CMS”) leading the way, and commercial payors following suit. This shift in payment dynamics has created new entities that are willing to bear risk, as well as new payment models for physicians.

If your organization is considering setting up an accountable care organization (ACO), clinically integrated network (CIN), or acquiring a health plan, VMG Health has the experience to inform and guide your decisions. Similarly, if your organization is contemplating alternative payment models such as pay for performance, shared savings models, or bundled payments, you can count on VMG Health to stay current on the latest market trends, regulatory nuances, and their financial implications. VMG health has extensive experience with value-based care models and organizations such as:

  • Managed Care Organizations
  • Management Service Organizations (MSOs)
  • Provider Sponsored Health Plans
  • Independent Physician Association (IPAs)
  • Accountable Care Organizations
  • Clinically Integrated Networks
  • Co-Management Arrangements
  • Payments for Quality
  • Payments/Allocations for Shared Savings Programs
  • Bundled Payment Arrangements
  • Hospital Efficiency Incentive Programs

In addition, a critical part of every value-based care strategy includes maximizing reimbursement with payors. VMG Health has an expert team that truly understands the contractual terms of payor contracts to ensure your efforts for lowering costs and increasing quality outcomes pays off.