Payer Provider Collaboration | FTI Consulting
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Payer Provider Collaboration

The seismic shift from traditional fee-for-service payment methods to a continuum of value-based options is ongoing. For health plans and providers to be successful in this environment of increased risk sharing and to take advantage of opportunities, a view from both sides of the issue is critical.  The FTI Consulting team has analyzed payer/provider contracts and their associated data and performance metrics from every angle.

Our service offerings include:

  • Readiness assessments for parties to accountable care organization and coordinated care organization arrangements
  • Provider contract strategy assessment and data analysis
  • Contract review and data and performance monitoring of shared savings and clinical and administrative quality measures
  • Capitation risk pool audits and settlements
  • Financial modeling of current and alternative contract arrangements
  • Back office assessment of claims, enrollment, risk adjustment and clinical processes and systems
  • Reviews of the adoption of technology, including the potential for electronic health record meaningful use incentives
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