Value-Based Contracting Consultants
Value-Based Contracting Consultants help providers and payers establish value-based contracts and reimbursement structures. These entities typically have strong strategic advisory and actuarial services to facilitate the bespoke negotiation processes required for commercial risk contracting with health plans, and can also support contracting with other payers, like Managed Medicaid or employers, that do not have standardized structures. Their services will often include definition of reimbursement structures such as bundled payments and capitation, and guidance on establishing cohorts, network, and risk adjustment parameters.
Criteria:
Actuarial data and analytics services to support rate negotiations
Strategic expertise in VBC reimbursement models and risk adjustment methodologies
Contract focused; services do not generally encompass operations
Product Usage: The reviewer uses Accorded to demonstrate the Return on Investment (ROI) or Value on Investment (VOI) of their digital mental health services to employers and health plan partners.
Strengths: Accorded offers unique service-oriented actuary models which are flexible and cost-effective for evolving digital health companies.
Weaknesses: Accorded could improve in translating their work into marketable deliverables and expanding their analysis scope around value-based care.
Overall Judgment: Accorded has been an excellent partner, offering quality work equivalent to or better than more recognized brands at a competitive price.
Product Usage: The user utilized Accorded as an actuarial consultant, providing them with nationwide multi-payer data points to assist in structuring value-based reimbursement contracts with insurance companies.
Strengths: Accorded was praised for offering good quality data, responsive service, and speed in offering analyses, all at an affordable price.
Weaknesses: The user wished Accorded demonstrated more innovative thought partnership and cautioned that users need to be quite prescriptive in their requests to get exactly what they need.
Overall Judgment: The user was very satisfied with the contract data Accorded provided and emphasized that the service offered great value for its cost. They recommended Accorded for organizations in similar circumstances.