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Build a value-based program on your terms and stay independent
TRIARQ brings the expertise and blueprint to design, launch and run a value-based program for your practice, with as much or as little hands-on support as you want.
Value-based care is here to stay
Value-based reimbursement has real challenges: reporting complexity, comparisons across different patient populations, and concern about how it shapes treatment decisions. Those concerns are legitimate.
It is also becoming a larger part of how public and commercial payers pay. Practices that organize around it early can capture the upside, keep control of their referral relationships and stay independent.
The upside, without the hassle
We help you decide where value-based opportunities fit your specialty, region and patient base. Then we provide the operational and technology support to put the plan into practice, from light advisory to fully managed.
Value-based model types
We help you choose and build the arrangement that matches your specialty and appetite for risk.
Bundled episode
Built around a triggering event such as a therapy or diagnosis, with a warranty period that captures related care. Performance is reconciled against target after the period closes.
Sub-capitation
A fixed rate per attributed life, per period, that covers a defined subset of services. The risk bearer delivers care within that rate.
Full capitation
A fixed rate per attributed life, per period, that covers all services for the population. The risk bearer is responsible for delivering that care.
What it takes to succeed
Complex value-based models run on clinical pathway development and adherence. We work through five areas with you.
Patient engagement and operations
Align the practice around a clinical pathway of care, from triage to care management, with multiple streams of revenue and cost.
Revenue cycle management
Make the financial flow work across fee-for-service and value-based contracts.
Revenue cycle managementIntegrated tools and analytics
Build on the systems you already have so you gain scale, automation and clear visibility.
Pathways IntelligenceQuality performance management
Put the measurement and reporting in place to track and improve performance.
Data and dashboardsPayer engagement
Show cost and quality outcomes so payers prioritize partnering with your practice and align with your pathways of care.
Payer relations
A value-aligned practice, end to end
A value-aligned practice organizes care from intake through treatment, recovery and payment around total cost of care and quality outcomes.
Pathways Value brings connected care, referrals, scorecarding and value-program enablement together, and Pathways Intelligence turns your data into Artifacts that show where you stand. Every engagement is tailored, and we are tool-agnostic, so we build on what you already run.
An easy first step
A practice assessment gives you a clear roadmap before you commit to anything larger.
Assess
Review your operations, your competitive market and your growth opportunities.
Plan
Choose the value-based models and pathways that fit your specialty and region.
Build
Stand up the operations, tools and reporting the plan requires.
Run
Measure results, engage payers and keep improving, with your choice of You Do It, We Share It or We Do It support.
Ready to build your value-based program?
Start with a practice assessment and a conversation with our team.