Thrive Revenue Cycle

Value-Based Reimbursement Readiness

💲 Price: $3,600 (One-time)
Add-on: Custom KPI Dashboard Build – $950

Overview

Healthcare reimbursement is shifting from volume to value—and your practice needs a roadmap to succeed. Thrive’s Value-Based Reimbursement Readiness service helps you prepare operationally, clinically, and financially for contracts tied to quality, risk, and outcomes.

We provide a tailored analysis of your current workflows, revenue exposure, and performance indicators—then build a readiness strategy that strengthens compliance and boosts your value-based positioning.

Ideal for:

  • Primary care, multi-specialty, and behavioral health practices
  • Practices entering ACOs, MIPS, or commercial risk-sharing agreements
  • FQHCs, RHCs, and outpatient groups evaluating VBC options

What’s Included

  • Two (2) strategic consults with a value-based care reimbursement specialist
  • Evaluation of current EHR data capture, documentation, and coding alignment
  • Review of quality measure tracking (e.g., HEDIS, MIPS, payer-specific)
  • Risk score assessment guidance (HCC coding and panel stratification)
  • Workflow audit for care coordination, preventative care, and post-visit follow-up
  • Reimbursement exposure analysis: FFS vs. shared savings vs. risk
  • Identification of gaps and risk areas in billing, data, and staff engagement
  • Optional: KPI dashboard build (add-on)

Deliverables

  • VBR Readiness Strategy Brief (PDF)
  • Suggested SOPs for quality measure workflows
  • Sample KPI metrics list and stratification matrix
  • Recommended documentation changes and care team engagement strategies
  • Optional: Dashboard setup based on your EHR/PMS structure

How It Works

  1. After purchase, you complete a readiness intake form and submit recent data samples.
  2. Thrive reviews documentation, claims data, and current payer contracts (optional).
  3. Two virtual consults are conducted over 14 days.
  4. Your customized readiness brief and KPI outline are delivered post-session.

ROI & Benefits

  • Improve VBC contract negotiation position
  • Increase performance on payer incentive programs
  • Strengthen quality data documentation and risk capture
  • Prevent revenue leakage tied to performance metrics
  • Prepare your team for coordinated, accountable care workflows

Timeline & Delivery

  • Sessions scheduled within 7–10 business days
  • Final brief delivered within 5 business days of last consult
  • Add-on dashboard: +5 days

Compliance Note

This service adheres to CMS, NCQA, and commercial value-based program guidelines. Thrive provides all services under a Business Associate Agreement (BAA) to protect client data and workflow review content.

Prepare for Value-Based Success