case-study

VALUE-LEVER ASSESSMENT FOR BETTER OUTCOMES AT A LEADING MANAGED SERVICES ORGANIZATION

A leading physician services and population health organization engaged Innovaccer's consulting services for a rapid diagnostic exercise to identify the major drivers of overall medical costs. Four levers were shortlisted for analysis that were found to be the most critical in driving performance outcomes at the organization.

Out of the four levers, referral management through specialist tiering was uncovered as a lever with the highest impact, with a potential savings upwards of $90M that could be generated.

The organization was able to:

  • Uncover that the largest opportunity for the ACO was in improving referral management, which should impact close to 90% of the projected savings
  • Out of that, the top 10 episodes contributed to about 25% of overall projected annual savings
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