The move to value-based care in the State of Arizona will accelerate in the future and Equality Health is there to help our clients manage the transition. To support AHCCCS, CMS, and our Health Plan partners, Equality has assembled a formidable team of risk delegation experts, provider services, population health technology, and managed care services to create deeper partnerships between providers and plan sponsors.
A delegation of financial risk allows a managed care plan to share risk with a delegate, creating system stability and a reasonable division of administrative and clinical management. Equality Health’s Q Point Coordinated Care Organization is well positioned to support both payer and providers, by aggregating providers for payer administrative simplification, and, at the same time, aggregating payer requirements for provider simplification.
Being an independent entity not owned by a health plan or a hospital, we can help support the confidential sharing of data and negotiation of contracts among the entities engaged in a delegated risk contract.
Working with our managed care partners, we collaborate to discern the appropriate risk structure for the targeted population we are asked to serve. Equality Health can provide risk management services, from a simple share of savings plan to full risk-bearing global capitation and percent of premium contracts. We work closely with managed care clients to define the necessary funds flow scheme, stop-loss insurance, encounter reporting, and provider incentive payment documentation to ensure transparency, regulatory compliance, and delegation governance.
We work with closely with our Health Plan partners through the delegation of financial risk (DOFR) process and offer delegation services in the following areas: