Quality Management

With the shift to Accountable Care, a number of new payment modalities will emerge with an increased emphasis on quality.  The new insurance products hitting the health benefits exchange will be centered around performance based outcomes. Through our experience working with various IPA’s, P4P has been a reality for our team for over 15 years. We achieve our client’s goals by analyzing quality data, implementing necessary  audits based on KPI’s, and creating a strategy to improve performance thereby maximizing  incentive payments.

Payment Modalities

  • Shared Savings
  • Bundled Payments
  • Capitation
  • Capitation with Carve-Outs
  • Partial Capitation
  • Fee For Service
  • Reduced Fee For Service

P4P Programs

  • Pay for Performance Programs
  • HMO/IPA Shared Risk Programs
  • HEDIS
  • Meaningful Use (MU)
  • Physician Quality Reporting System (PQRS)
  • Patient Centered Medical Home (PCMH)

What Our Clients Say

I’ve had the opportunity to work closely with Sierra Management Group, Inc. for nearly a year as we’ve collaborated on developing a network of Patient Centered Medical Homes. Over the course of this time, they’ve impressed me with their talent and the quality of programs they’ve created. Our association with Sierra Management has definitely enhanced theContinue Reading