Reliance Consulting Group, LLC

Commercial Payer Contracting & ACO Consulting Services

 

ACO Contracting Services

ACO Payer Contracting

Reliance consultants utilize a client specific process to initiate ACO payer contacts, develop a payer-specific contract negotiation strategy and negotiate ACO payer contracts as determined by our clients based on strategic findings. The ACO payer contracting process involves:

    • Client data acquisition (e.g. PCP membership & credentials);
    • Payer notification and data request (e.g. accountable care contract template);
    • ACO contract assessment, legal analysis and negotiation strategy development;
    • Commercial payer contract negotiations (e.g. facilitate meetings, chronologies,);
    • Contract execution facilitation (e.g. advise on fulfillment of contract deliverables)


 
ACO Consulting Services

In addition to commercial payer contracting services, RCG provides strategic management services to our clients to include (but not limited to):
    • ACO assessment to determine readiness to achieve payer contracting terms;
    • Development of action plans based on assessment results;
    • Patient Centered Medical Home (PCMH) practice-specific rollout strategy to meet NCQA certification requirements and site visits to experienced ACOs;
    • Consulting support to develop ACO infrastructure capabilities including internal team care, external team contracting and care management reports, tools and protocols;
    • Development of state-wide network of ACOs to enable shared protocols and best practices;
    • Research of financial risk management requirements to position the ACO for value-based contracting.

 




Reliance Consulting Group, LLC
  5094 Paces Station Drive | Ste. 100
Atlanta, GA 30339

423.304.4343
info@reliancecg.com