WHAT WE DO

How We Work For You

We are committed to empowering health care providers to make the transition to value-based care.

We first start with a collaborative assessment of a value partner’s capabilities in care delivery, payer contracting, analytics, and patient engagement. After a baseline of an organization’s current capabilities is determined, we identify the top areas of opportunity for quality improvement and cost of care reduction and align capabilities with value-based contracts.

To succeed in value contracts, we offer a range of
customized transformative services that include:

Care Coordination

Care Coordination Programs, including Pharmacy Services, that support the rising risk and high-risk patients.

HCC Education

for physicians and advanced practice providers to establish accurate coding and documentation which is vital to success in value-based contracts.

Actionable Analytics

through a dedicated clinical data solutions team that homogenizes claims and clinical data to provide up-to-date and accurate analyses.

Compliance Guidelines

on your MIPS/MACRA glide path and management of CMS ACO requirements.

Engagement

with physicians and providers that is physician-led, focusing on physician education, implementation of new processes and ongoing operations.

Extensive experience

in value-based contracts that enhances your contract portfolio and brings value-based negotiation and operations expertise.

Quality Team

implements and guides efficient work streams for providers and staff to accurately capture quality gaps in care as data points to ensure a consistent and timely flow of information back to payers and CMS.

Learn more about our services

Business Transformation Services

Business Transformation Services

For some health care organizations, making the move to value involves more than care model transformation, contracting and population health analytics.

The transformation can often require changes to the cultural, financial and operational functions of the organization to achieve success in the new world of value-based care.

We customize our services to complement the care transformation underway, positioning your organization for a more rapid and successful outcome.

To learn more about CHESS products
and services, contact us.