At the recent DHNY Summit, our CEO, Frank Cheung, FSA, MAAA, moderated a panel that highlighted key considerations for providers when navigating from fee-for-service to value-based care models.
Unlocking Value-Based Care Success: The Role of Actuarial Analytics
At this year's Digital Health New York (DHNY) conference, I had the opportunity to moderate a panel discussion with a diverse mix of specialty providers focused on an overlooked aspect of value-based care (VBC) implementation: the complexities of risk contract structuring and how actuarial analytics can make or break the success of the contract.
The conversation revealed several insights that providers must consider as they navigate the transition to VBC models:
- Successful VBC implementation demands a nuanced approach to risk contract structuring. Providers must strike a balance of creating frameworks flexible enough to accommodate the unique business requirements and clinical objectives of different payers while maintaining robust protective measures. Additionally, payers and their appetite for risk vary significantly, requiring providers to balance having an opinionated model while remaining adaptable to specific payer preferences.
- As organizations expand their VBC portfolios, their analytics needs evolve substantially – moving from supporting single functions to enabling multiple business areas. Risk-bearing providers will require sophisticated actuarial analytics to both secure advantageous contracts and effectively manage their evolving risk landscape.
- Traditional actuarial resources often prove too rigid, slow, or costly to meet the dynamic needs of risk-bearing healthcare organizations. Nimble actuarial analytics resources are crucial during initial implementation phases.
- As healthcare organizations scale their VBC initiatives, they need scalable actuarial and data analytics capabilities that can grow alongside them. Finding ways to automate analytics processes is vital as VBC continues to evolve.
At Accorded, we're addressing these challenges head-on. By combining modern data engineering principles with actuarial expertise, we've developed automated solutions that deliver the analytical insights providers need to thrive in value-based arrangements. Our platform empowers healthcare organizations to make data-driven decisions quickly and cost-effectively, ensuring they can adapt and optimize their VBC strategies in real-time.
This intersection of healthcare transformation and technological innovation represents an exciting frontier in our industry. As we continue to witness the evolution and increasing prevalence of VBC, the role of intelligent, automated actuarial analytics will only grow in importance.
The engagement and insights shared during our DHNY panel reinforced the urgency of addressing these challenges and the opportunity that lies ahead. Thanks to our distinguished panelists for their contributions to the discussion and to DHNY for providing a platform for this crucial discussion.
To learn more about how actuarial automation can support your organization's value-based care journey, visit accorded.com/get-started.