Revenue at risk

Revenue at risk

Capture revenue and reduce program risks

The Centers for Medicare & Medicaid Services has initiated several pay-for-value quality programs. Providers must exhibit good quality performance or risk takebacks of Medicare revenue and the possibility of costly penalties.

Crowe has a thorough understanding of these often-complicated regulations as well as strategies and approaches for successfully navigating them. We’ve provided assessments, which are supported with data analytics and industry expertise, to hundreds of hospitals. We can help you and your healthcare organization develop a quality culture, retain at-risk revenue, earn incentives, and decrease risks.

Clinical programs

Hospital clinical management programs

We can improve the efficacy of the following programs:

  • Hospital Value-Based Purchasing Program
  • Hospital-Acquired Condition Reduction Program
  • Hospital Readmission Reduction Program

Hospital clinical management models

  • Comprehensive Care for Joint Replacement model
  • Bundled Payments for Care Improvement Advanced

Physician quality-based programs

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

  • Alternative payment model (APM)
  • Advanced APM
  • Merit-based Incentive Payment System
  • Medicare Shared Savings Program – tracks two and three
  • Next Generation Accountable Care Organization Model
  • Comprehensive Primary Care Plus

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Contact us

Learn how you can enhance your revenue capture and reduce program risks. Contact the Crowe healthcare team today.
people
Warren Beck
Ken Ruiz
Ken Ruiz
Principal