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Conifer Health Solutions

Value-Based Care

Financial Risk Management

Financial management for providers is becoming more complicated, especially as healthcare operational costs continue to rise, combined with the introduction of financial options such as bundled, shared-savings, and full-risk payment models. At Conifer Health, we understand the complexity of determining which form and what risk level a client should assume and we provide the resources and management tools to support a confident decision.

For 20 years, Conifer Health has been managing dynamic payment risk models—from acute bundles, episodic bundles, and shared risk to global payments—helping to improve both the cost and quality of care. Using robust analytics and expert financial insights, we help providers align and manage financial incentives, as well as manage risks for all dynamic payment models. The difference is that we provide our services from the unbiased viewpoint of a hospital-owned service provider, not a health insurance company. We offer the following features and benefits:


  • Financial Readiness Assessment: develops a blueprint for moving along the value-based healthcare continuum.
  • Risk-Based Optimization Modeling: determines what form of financial risk is optimal for your facility over time through a series of financial risk modeling exercises.
  • Risk Management Services: manages all major functions, from payer contract negotiation, claims processing, payment management, and utilization analysis, in a turn-key approach.
  • Financial Performance Analysis and Reporting: tracks financial performance from multiple sources that is aggregated and analyzed to help you better understand and improve your system’s financial health and risk performance.

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