Value-based care is one of our passions, and we haved partnered with many provider groups, health systems, payers, and convener organizations to design and implement successful value-based care programs across Medicare models—including ACOs, MSSP, DCE, BPCI/BPCI-A, and specialty programs—as well as commercial risk-sharing arrangements. Value-based care only succeeds when policy understanding, regulatory compliance, operational execution, and quality performance work in perfect alignment, and our team brings expertise across all four dimensions. We help organizations navigate the complex regulatory requirements of CMS programs while building the operational infrastructure needed to manage population health effectively, contain costs, and achieve the Quadruple Aim: better patient outcomes, improved patient experience, reduced costs, and enhanced clinician satisfaction. Our approach recognizes that value-based care isn't simply about accepting risk—it's about fundamentally transforming how care is delivered, coordinated, and measured. We've guided organizations through every stage of VBC maturity, from initial program design and business case development through advanced risk arrangement optimization, ensuring that incentives align across all stakeholders and that your organization has the capabilities to succeed under performance-based reimbursement.

 

Covalence Health offers a turnkey solution for value-based care implementation, addressing every critical component required for program success. Our comprehensive approach includes rigorous medical economics modeling and financial forecasting to ensure sustainable economics under capitation or shared savings arrangements; building and optimizing high-performing provider networks with clear clinical integration and accountability structures; redesigning clinical workflows to support proactive care management rather than reactive episodic treatment; mapping patient journeys to identify intervention points that prevent costly complications and unnecessary utilization; implementing evidence-based cost containment strategies that reduce waste without compromising quality; selecting and integrating the technology platforms needed for care coordination, analytics, and population health management; and establishing robust quality reporting and performance improvement processes that meet regulatory requirements while driving continuous clinical excellence. We don't just provide strategic recommendations—we work alongside your teams to implement solutions, build internal capabilities, and ensure your organization can sustain value-based care performance over the long term as models evolve and benchmarks tighten.