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EXECUTIVE SUMMARY

Combining risk and quality to increase value

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Quality is a revenue lever for both providers and payers.

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Leverage data to build a quality risk program

The four parts of a comprehensive quality risk program include infrastructure, interventions, field resources and data acquisition.

Just as health plans are growing by maximizing quality bonuses, providers are seeking new ways to grow through value-based care. It's important for providers and payers to come together as strategic partners to share and utilize data that moves them forward together.

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