Value-based care models tie reimbursement to patient outcomes. And patient outcomes depend on patient engagement. When patients miss follow-ups, skip screenings, or fall off care plans, the clinical and financial consequences land on the practice. Experts project patients aligned with value-based models will more than double — from 43 million in 2022 to 90 million by 2027. Specialty practices that can't keep patients engaged will leave that revenue on the table.
In fee-for-service, a missed appointment is a missed billing opportunity. In a risk program, it's worse — it's a clinical gap that can trigger complications and reduce quality scores. McKinsey identifies patient engagement as a core differentiator between specialty risk programs that succeed and those that don't.
One national health plan demonstrated this directly: by engaging 90% of eligible members with chronic kidney disease, they reduced hospital admissions by 15%.
TRIARQ Health's Pathways Practice and Pathways Value suites integrate engagement tools, clinical workflows, and care coordination for specialty practices.
Risk stratification in specialty contexts identifies which patients are at highest risk for complications or disengagement. A cardiology practice stratifies heart failure patients by ejection fraction and medication adherence. An orthopedic practice stratifies by comorbidity burden and rehab engagement. Generic risk scores miss clinical nuances that drive specialty outcomes.
The Pathways Partner Network connects specialists, PCPs, and post-acute providers with shared data — so medication changes reach the PCP, surgical patients get coordinated rehab, and overdue surveillance triggers automatic outreach. This transforms engagement from a practice-level effort to a network-level capability.
Connected Care. Shared accountability. Better outcomes.