Overcome rising healthcare costs — all while improving the health, well-being, and satisfaction of plan members. Drawing on experience gained from managing $6.1B of spend under BPCI-A programs in 2019, we apply our unique blend of technology, analytics, and services to help you power a more cost-effective, high-quality system of care for commercial lines of business.
Prospective and retrospective models
Shared risk arrangements
Procedural and condition episodes
Payment oversight and reporting
Partner with Signify Health to implement an episodes of care program that drives accountability and alignment along the entire care continuum. Our solutions apply unique experience managing value-based care programs for an array of industry stakeholders.
Seamlessly design, launch, and administer episodes of care programs covering the acute procedures and chronic conditions that represent over 50% of typical annual medical spend. Plus, gain greater predictability through guaranteed, fixed prices for all selected episodes of care.
Custom-design strategies and programs
Launch programs that address your unique needs. Drawing on our advanced data analytics capabilities, we’ll work with you to identify significant financial and strategic opportunities to design episodes, prices, and outcomes measures that deliver better clinical and financial outcomes.
Focus on care quality
Rest easy knowing that services are delivered with a focus on quality and cost. Our hand-selected networks of high-performing local providers work in concert with our field-based care coordination professionals to support patients’ holistic clinical, social, and behavioral needs.
Align incentives across the board
Enable meaningful collaboration with providers by leveraging our established relationships and unique provider risk-sharing model, which aligns incentives to focus on quality and price — and ultimately helps lead to happier, healthier plan members.
Empower providers to do their best work
Give the right providers the technology, information, and tools for success. Our solution offers site of care decision support, insights on the levers that drive quality and cost, and real-time data that enables early intervention and management across the entire episode.
Monitor activities and performance real-time
Access a comprehensive analytics platform that includes the latest episode costs and performance data at the individual beneficiary, provider, and program level.
Enable accurate payments
Partner with us to drive efficiency and accuracy for your value-based payment program. Our platform performs program reconciliations, generates reconciliation statements, and collects and distributes program savings and losses among payors and providers.
Implement programs tuned to employers’ unique requirements
Move beyond point solutions that keep piling up and sometimes fail to live up to their promise. Partner with us to implement an episodes of care payment program and get guaranteed prices, a focus on quality care, and seamless coordination across all providers for a wide range of conditions and procedures.
Accelerate value for ASO and fully insured clients
Advance the journey toward value-based care with a solution that aligns incentives for your clients and provider networks, backed by the nation’s largest convener by number of episodes managed. Leveraging learnings from our experience managing $6.1B in BPCI-A spend in 2019, we help you design— and implement — a solution for your commercial line of business.
Leverage our technology platform, which enables a flow of actionable data to and from participating providers, to arm them with the critical data elements needed to quickly identify and better manage patients. We apply machine learning that analyzes demographic, eligibility, diagnostic, and other real-time clinical data to generate a score that accurately predicts the likelihood of a patient episode as well as risk factors along the entire care continuum.
Capture a 360-degree view of every patient throughout each episode of care and across all treating providers by marrying clinical, claims, and social determinants data with decision-support algorithms. Our advanced technology platform creates prompts and action lists for Signify Health social and clinical care coordinators to support front-line clinicians and help optimize patient outcomes.
Apply the knowledge and experience gained working with more than 47 Medicare Advantage health plans and thousands of provider organizations to reduce variations in care, increase savings, and help patients enjoy more healthy days at home. And, we offer an array of alternative payment arrangements to support wherever you are in your journey toward value-based care.
The shift from volume to value is focused entirely on achieving better outcomes for the patient. Signify Health CEO Kyle Armbrester discusses the strategic imperatives for moving away from inefficient fee-for-service models.
The State of Connecticut is partnering with Signify Health to deliver value-based care for 220,000+ employees and their dependents with a program that includes a majority of physician groups and health systems in the state.
Frustrated by continued health plan inflation and point solutions that keep piling up and sometimes fail to live up to their promise, employers are looking for more comprehensive approaches that deliver measurable value today—and tomorrow.
Signify Health delivers prospective and retrospective payment models via recently-acquired blockchain technology to support clients wherever they are in their value-based care journey.
Cambia Health expands commercial episodes of care programs, including condition episodes and contracting with additional physician groups across Washington, Oregon, Utah and Idaho.