Through our experience offering some of the nation’s leading government plans, our team has an intimate and 360-degree view of the environment today’s payers face. We know tomorrow’s successful payer organizations are investing in value-based strategies today. Fortunately, our model has focused on rewarding value for more than a decade.
For more than ten years, InnovaCare has worked with providers to incentivize outcomes rather than volume. We have consistently shifted contracts to risk-based and capitated models, incentivizing quality care for a wide range of providers, including both primary care physicians and specialists.
To better manage our members’ health, we’ve built proprietary digital platforms to collect and share data across our network. For example, our technology enables payers to flag high-risk patients and ensure they receive interventional treatment before an acute event happens. We also proactively engage members through mobile clinics and consumer-facing health services sites, often located in convenient retail centers.
Our market-leading health plans, rated 4.5 stars by the Centers for Medicare and Medicaid Services, achieved quality goals such as reducing patients’ total bed days by 10 percent, and cutting medical costs per-member, per-month by 13 percent. Our holistic approach allows us to scale best practices, quickly, across our entire physician network.
With our unique expertise and physician-focused approach, we can help payers optimize risk in even the most challenging markets.