Healthcare expertise

    Health Plans & Risk-Based Care

    Understand payment terms, risk allocation and the financial scenarios behind an arrangement.

    A risk-based arrangement can change who bears the cost of variation in utilization or performance. The financial result depends on the actual terms, available information and assumptions about resources and outcomes.

    Cabra provides financial and strategic analysis for organizations and advisors evaluating health-plan and risk-based-care arrangements.

    01

    Map the financial exposure

    Identify the parties, payment provisions, benchmarks and responsibilities. Distinguish predictable amounts from contingent payments and assumptions requiring further validation.

    02

    Evaluate sensitivities

    Compare plausible revenue, cost and performance scenarios. The analysis should identify terms that materially change the economics rather than present a forecast as a guarantee.

    03

    Financial analysis informed by the arrangement

    Cabra evaluates payment terms, risk allocation, benchmarks and financial sensitivities in health-plan and risk-based-care arrangements. Relevant legal, clinical quality and risk-adjustment perspectives can be coordinated with the financial analysis.

    Start with the facts

    Discuss the decision in front of you.

    Contact Cabra Consulting to discuss the arrangement, the question to be answered and the financial support that may be useful.

    Contact Cabra