Program Assembly

A program opportunity is in hand when market information and case data clearly define a target context (comprising payers, patients, and specific employers), a portfolio of services, a target market, and sustainable financial parameters.

Transforming that business and financial case into a true value-based healthcare program—moving from concept to operational readiness—draws on several GHA competencies.

Program configuration
The GHA design process includes the construction of the financial and risk models used to set provider payment and clinical goal incentive schedules. It also includes building provider networks and credentialing those providers within the program.

Business and legal consultation
GHA can work with provider networks to consult on corporate structure, board and governance models, the development of participation agreements for providers, and the creation of contracts between payers, employers, and providers.

Marketing and promotion
As a program is launching, GHA works with clients to develop the presentations and other materials they need to convey the program’s value proposition to payers and employers—helping to translate the value-based program’s commitment to clinical quality for an audience accustomed to a language of cost and delivery.

Clinical quality initiatives
Continuing clinical success requires ongoing collection and assessment of outcomes data. GHA works closely with clients to develop clinical governance and goal models that gather necessary clinical goals and outcomes data to align to the financial goals of the value-based program. GHA then works to ensure that the data is clear, concise, trackable, and actionable.

Technology-enabled operations
Our ability to seamlessly connect providers and payers within value-based care programs is based on our proprietary software platform, Axia™. An open API allows us to seamlessly integrate different financial and operational systems with minimal impact to current revenue cycle processes—including those of different providers and payers. This integration—including full data security and HIPAA controls—is an essential element of our value-based care solutions.

Notice of Site Terms

This Website is intended for the use of our current or potential customers and clients. This site is not for the use of individual patients, subscribers, or employers of our customers and clients. If you are an individual with questions or comments about your medical provider and/or medical billing or charges, please contact your healthcare provider, payer, or employer; if you need to speak to someone at Global Healthcare Alliance, your representative will have a toll-free telephone number you can call. DO NOT PUT MEDICAL INFORMATION ON THIS WEBSITE. Any party putting medical information on this Website is fully responsible for such information, and we assume no responsibility for such information, including any unauthorized access or misuse by third parties.

Global Healthcare Alliance