Accountable care design
Network structure, governance, quality measures and shared-savings arrangements.
Capabilities · Value-based care
Pay for health, not just for visits.
Health systems that pay for each procedure get more procedures. Systems that reward keeping people well get healthier populations, and usually spend less doing it.
Value-based care and population health
Value-based care and population health
Our founding team helped design one of the first accountable care organizations in New York, bringing hospitals, physicians and payers together around shared outcomes. We bring that experience to providers and payers moving toward value, and to governments designing primary care and chronic disease programmes.
The work joins three things that usually live apart: clinical models, data and money.
What we deliver
Population health analytics
Risk stratification that finds the patients who need attention before they need a hospital.
Chronic disease programmes
Hypertension, diabetes and other long-term conditions managed in the community.
Care coordination
Care managers, community health workers and referral pathways that close gaps.
Payment model design
Capitation, bundled and performance-based payments modelled before they are adopted.
Quality measurement
A short list of outcome and process measures, reported reliably.
How an engagement runs
Understand the population
Who the patients are, what they suffer from and where care is lost.
Design the model
Care pathways, roles, data flows and incentives that point the same way.
Model the money
Costs, savings and risk sharing tested before anyone signs.
Launch and learn
A phased start with measures reviewed monthly and the model refined.
Who we work with
- Provider networks and physician groups
- Payers and national insurance schemes
- Ministries designing primary care reform
- Employers and their health plans
- Programmes for chronic disease and maternal health
What we design for
- Conditions caught and controlled earlier
- Fewer avoidable admissions
- Incentives aligned with patient outcomes
- Data that shows who needs care next
- Lower total cost of care
NAICS codes
From our capability statement. US agencies use NAICS codes to assess capabilities.
- 541611Administrative Management and General Management Consulting Services
- 541618Other Management Consulting Services
Frequently asked questions
Is value-based care relevant outside the United States?
Yes. Any system that wants better outcomes for its budget, including national insurance schemes, can use the same principles: measure outcomes, coordinate care and reward prevention.
Where does your accountable care experience come from?
Our founder, M. Collins Chia, and Miranda A. Chia helped design one of the first accountable care organizations in New York.
Do providers lose money moving to value?
They can if the model is poorly designed. That is why we model costs, savings and risk sharing before anything is signed, and phase in risk gradually.
Not sure where to start?
Most clients begin with a short conversation and a focused assessment. Tell us about your organization and we will suggest the right first step.
