Health Choice Preferred utilizes a comprehensive range of managed care solutions design to improve healthcare quality, outcomes, and performance.

We understand that successful accountable care organizations need to have an established clinical and financial core, coordinated care protocols, engaged providers and patients, and robust data collection and analysis practices.

The Health Choice Preferred Value-Based Care Solutions suite includes an extensive range of population health management services including clinical, analytical, actuarial, financial, technology and compliance tools.

Clinical Solutions

  • Pay-for-performance contract modeling and implementation
  • Incentive alignment
  • Quality management
  • Core measure analysis
  • Practice management
  • Contract modeling and negotiation
  • Clinical integration
  • Benchmarking
  • Bundled payment programs
  • ER utilization management
  • Referral management

Care Coordination Solutions

  • Care management programs
  • Disease management programs
  • Population health and care assessments
  • Population-specific outreach campaigns
  • Health literacy outreach
  • Pharmaceutical management programs

Data and Analytics Solutions

  • Portal development
  • EMR/EHR strategies
  • Centralization of data storage
  • Custom reporting
  • Quality metrics compliance
  • Risk score monitoring
  • Data security
  • Data collection incentive programs

Consumer/Patient Engagement Solutions

  • Patient wellness programs and resources
  • Secure high-risk patient communication strategies
  • Online and mobile appointment setting strategies
  • ACO brand awareness and patient loyalty
  • Incentive program development
  • ER utilization education initiatives
  • Brand differentiation

Financial and Actuarial Solutions

  • Financial reporting
  • Budget preparation
  • Revenue cycle management
  • Actuarial valuations
  • Actuarial projections
  • Health plan design
  • Withdrawal liability
  • Rate setting
  • Second opinion actuarial reviews