Value Based Care
Execution partners driving VBC success from first contract through full risk delegation
Through strategic advisory, our AI-powered solution suite, and embedded operational support, we partner with organizations to improve quality performance, strengthen risk adjustment, lower total cost of care, and create durable financial value across every stage of their value-based care journey.
Value-based care succeeds when execution follows insight
Most healthcare organizations already have dashboards, analytics, and point solutions. The challenge is turning insight into coordinated action across clinical, financial, and operational teams. As risk increases, execution becomes the difference between meeting performance goals and leaving value on the table.
This is where IKS Health comes in. We bring the platform and the day-to-day operating discipline to turn all that insight into action, and we stay measured on what happens next.
Improve VBC results across risk, quality, and total cost of care
Position your organization for greater agility and better outcomes
A proven path to value-based care success
Assess
Understand your current state and identify the contractual, structural, and operational changes needed to succeed under risk.
Advise
Co-create the strategy, operating model, and execution plan in alignment with your contractual priorities.
Execute
Deliver the clinical and operational workflows that improve financial performance and population health outcomes.
We meet you wherever you are in your risk journey
Provider organizations we partner with broadly fit into one of these two profiles, which guide how we add value from assessment to execution.
Emerging risk
Organizations in pay-for-performance or upside-only arrangements
Increasing performance to unlock greater value requires population health team infrastructure that is challenging to form and scale. With our deep expertise and platform, we will help you:
- Negotiate value arrangements with your payers
- Engage clinicians and align their compensation
- Structure governance and operations for greater agility
- Simplify the whole-data picture into one clear view
- Point you to answers even when you may not know the right questions to ask
Advanced risk
Organizations experiencing challenges in downside risk
Real performance takes real commitment. Our operating partners embed deeply at several levels in your organization. They help:
- Optimize your network strategy
- Identify care model wraparounds
- Hotspot cost of care opportunities
- Deploy AI solutions to drive patient engagement
IKS Health capabilities driving measurable value-based care outcomes
Contract
optimization
Define achievable success with actuarial modeling to forecast, monitor, and reconcile performance with confidence.
Risk stratification and care management
Predictive analytics to identify actionable cohorts to close gaps in care, mitigate utilization trends, and drive impactful engagement.
Analytics and
insights
Ready-to-use dashboards across quality, cost, utilization, and risk, with AI-conversational queries to distill insights.
Risk
adjustment
Prospective, concurrent, and retrospective HCC coding, run by our own physicians and certified coders.
Quality
measures
The measures that gate your payments, watched continuously and surfaced to the right clinician.
Remote patient
monitoring
Best in KLAS two years running, reaching patients on any phone with no app or device.
A solid track record in VBC value creation
21x
ROI
Return on investment from prospective HCC coding at an independent multispecialty group, enabling $6.3M in ACO shared savings opportunity
+0.38 RAF
improvement
38 basis points higher RAF in patients with new HCCs, under v28, with 75% clinician acceptance
43% lower
admissions
Lower risk of admissions (12.2%->6.9%) for an integrated delivery network's Medicaid members, driving a $520 PMPY cost avoidance vs. matched controls
$53M
cost avoided
A health system avoided $53M in costs through remote patient monitoring, with a $141 PMPM reduction vs. matched controls.
Support tailored to your stage of risk
Connect with us to get a realistic assessment of your current value-based care capabilities and a clear glide path to greater risk. The results are yours to keep, with no obligations and no strings attached. Let us show you how IKS Health can be your execution partner, wherever you are on your value-based care journey.