Hands-on VBC expertise
Extensive real-world experience managing VBC contracts across multiple payment models and delivering measurable impact.
We establish foundational readiness, streamline operations, apply financial and clinical analytics, and enable population health management to improve value-based care outcomes and optimize financial performance.
As payments shift from fee-for-service to value-based care models, many health systems struggle with financial uncertainty, operational complexity, and the readiness required to support this change at scale.
Build the foundational capabilities required to adopt and scale value-based care, including readiness assessments, data and quality benchmarking, financial neutrality evaluations, and contract negotiation support. This helps providers enter arrangements that improve health outcomes and maintain financial sustainability with better clarity, preparedness, and confidence.
End-to-end operational execution for all VBC contract types. This covers new contract configuration, claims and eligibility ingestion (FHIR-based), care-gap identification, quality reporting, workflow design, and continuous operational optimization using design thinking and automation.
Advanced analytics, reporting, and financial modeling to rigorously manage VBC contract performance. Services include predictive and prescriptive analytics, causal modeling to identify value levers, quality measure improvement, utilization diagnostics, and scenario-based projections that guide strategy and action.
Targeted interventions across high-risk cohorts, chronic disease programs, behavioral health, SDOH initiatives, and coordinated transition-of-care services. This includes cohort creation, care-gap closure, concierge support, health-equity frameworks, and personalized care-plan design to improve outcomes and reduce avoidable costs.
Our model is designed to scale thoughtfully, ensuring every step is supported by proven frameworks, automated workflows, and deep VBC experience. We follow an experiment-to-scale approach that ensures innovation is safe, responsible, and tied to measurable clinical, operational, and financial value.
Explore how Providence delivers optimized financial performance through value-based care outcomes.
Providence developed a unified, data-driven framework that accelerates processing, improves accuracy, and scales operations across multi-payor value-based care programs, with an estimate of 70% automation of VBC operations management in the next 3 years.
The framework delivers automated QA checks and SLA workflows, faster processing of eligibility, medical and Rx claim files, standardized ingest + transform + report workflows and reusable components for rapid payor onboarding. This framework reduced processing time from 7 to 3 days through automation of 95% SLA tasks, saving 250 labour hours per month and lowering infrastructure cost by 39%.
We built a unified analytics engine that standardizes VBC reporting, strengthens forecasting, and delivers actionable insights across contracting, operations, and population health.
The engine comprises of centralized dashboards for utilization, quality, spend, risk, and contract performance, predictive models enabling early risk identification and more accurate cost and utilization forecasting and reusable analytical assets (benchmarks, hypotheses, and models) that accelerate insights and reduce manual reporting.
Using this, we have delivered 50+ high impact VBC reports, bringing better visibility into population risk, utilization drivers, and contract performance while offering enhanced decision-making for VBC strategy and care management.
