Covalence Health partners with healthcare providers facing the dual challenge of declining reimbursements and increasing regulatory pressures, helping them achieve more with constrained resources while maintaining or improving quality of care. As Medicare and commercial payers continue tightening payment models and shifting toward value-based arrangements, providers need strategies that simultaneously reduce costs and enhance outcomes—a balance that requires deep operational understanding rather than generic consulting approaches. Our team brings real-world experience from inside provider organizations, understanding the daily realities of clinical workflows, staffing challenges, and margin pressures. We help you identify specific operational inefficiencies, streamline care delivery processes, optimize revenue cycle management, and implement technologies that genuinely improve productivity rather than adding administrative burden. Our focus is on practical, implementable solutions that deliver measurable financial and clinical improvements quickly, because providers don't have the luxury of multi-year transformation timelines when margins are eroding today.

 

Quality performance has become inseparable from financial viability, particularly as value-based contracts and public reporting increasingly tie reimbursement to outcomes and patient experience scores. Covalence Health helps providers build and optimize high-performing referral networks that ensure patients receive coordinated, high-quality care across the continuum—directly impacting your quality scores, patient satisfaction metrics, and value-based contract performance. We understand that referral networks aren't just about having names on a list; they're about clinical alignment, data sharing capabilities, care transition protocols, and ensuring every partner in the network shares your commitment to quality outcomes. We help you identify which specialists, post-acute providers, and ancillary services will genuinely enhance your quality metrics, establish the infrastructure for seamless care coordination, and create accountability mechanisms that keep your network performing at high levels. By strategically curating referral relationships and implementing care coordination best practices, we help you achieve the quality benchmarks that maximize reimbursement under MIPS, Medicare Advantage Stars ratings, and commercial quality programs while simultaneously improving patient outcomes and reducing unnecessary utilization.