Map the payment and risk
Define the relevant populations, payment terms, benchmarks and responsibilities using the information available. Distinguish expected revenues from contingent amounts and investments needed to participate.
Capability
Understand the economic exposure behind a proposed value-based arrangement.
An arrangement described as value-based can still leave important questions about payment, investment and risk allocation unanswered. The label does not explain which outcomes drive the financial result or who bears a shortfall.
Cabra provides financial and strategic analysis of value-based arrangements for healthcare organizations, physician businesses and their advisors.
Define the relevant populations, payment terms, benchmarks and responsibilities using the information available. Distinguish expected revenues from contingent amounts and investments needed to participate.
Compare the implications of different utilization, cost and performance assumptions. The analysis should show which terms materially affect outcomes and where uncertainty remains.
Cabra's work evaluates payment terms, benchmarks, risk allocation and financial sensitivities. Legal, clinical quality and risk-adjustment specialists can bring their interpretation to the same decision-making process.
Start with the facts
Contact Cabra Consulting to discuss the arrangement, the question to be answered and the financial support that may be useful.