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Population Health

Value-Based Payment Modeling

As you journey down the path from fee-for-service to fee-for-value, selecting and transitioning to the right value-based payment models for your organization is paramount to your survival and long-term success.

GE Healthcare Camden Group has been leading the change in the healthcare industry by assessing our clients’ readiness for value-based payment models from a financial, operational, and strategic perspective, and then successfully implementing these new payment models. We employ results-oriented approaches to help you achieve success under fee-for-value payment models, supported by our analytic rigor, proven methodologies, managed care experience, tools, and benchmarks. Our leading experts in bundled payments have hands-on experience in winning the selection as one of the initial CMS Acute Care Episode pilot projects, as well as implementing and successfully managing bundled payment within a post-acute organization. Our ACO/clinical integration financial modeling supports the development of ACOs and clinical integration with comprehensive financial modeling, including shared savings and flow of funds. We also have extensive experience with capitation and other risk-based payment models. We also assist providers with pricing strategy, incentive bonus, and tiered network pricing.

Additionally, we are highly experienced at submitting Center for Medicare & Medicaid Innovation (CMMI) and CMS applications for bundled payment and ACO programs. As early thought leaders on value-based payments, we have given numerous presentations and written articles on readiness, formation, and implementation of clinical integration and accountable care for leading publications and national associations.