ACO Financial Checklist
For any Payer or Provider involved in risk-sharing arrangements
Assembled by an Actuary helping providers and payers successfully share risk for 20+ years.
Checklist
How AHP Can Help
- Complete a full Actuarial assessment of the deal using an approach that has yielded value for both sides
- Identify common biases hidden in many risk-share arrangements, and recommend how to avoid them
- Assess Care Management Effectiveness (CME) of ACO
- Provide actionable information to ACOs
- Provide best practices for success in value-based deals, to both payer and ACO
- Help assemble your disparate data sources into a comprehensive data warehouse, using either a custom solution or improving an existing one
- Fill-in missing gaps in the data, and ensure a “single source of truth”
- Analyze the whole market picture in order to find “true” incremental volume and margin, not just a shift between products
- Create a glide-path from “dipping your toe in the water” of risk deals to creating your own successful ACO product or health plan
We’re Ready to Help!
We hope this checklist is helpful and know risk-sharing arrangements can be a challenge to navigate. If you need further guidance, we have the resources and are ready to help. Contact us today to see how we are making a positive difference in the healthcare industry.