Value-Based Care at Physician Housecalls
The Value Creation team partnered with the company to produce innovative value-based care arrangements
The Challenge
Physician Housecalls is a premier provider of home-based geriatric primary care services across Oklahoma and Kansas.
At the time of Council Capital’s investment, Physician Housecall’s revenue was entirely traditional fee-for-service. Value-based care (VBC) models, however, offered incentives that could drive better care for patients and better financial performance for the business.
To capture the full potential of these value-based care arrangements, the company needed to develop new skills around payer contracting and data analytics.
The Solution
The Value Creation Team partnered with Physician Housecalls to implement a series of best practices from across the Council ecosystem, including:
- Strategy: Developed value-based care roadmap, and added Board members with deep VBC experience
- Relationships: Leveraged the CEO Council cfor introductions to Medicare Advantage plans
- Reimbursement Models: Entered four value-based care models incl. CMMI’s Primary Care First, MSSP ACOs, Medicare Advantage, and DCE programs
- Analytics: Improved cost and utilization metrics and appropriately recorded HCC Risk Scores
The Results
Patient Savings vs. Benchmark
(Performance Year 2021)
YoY Growth in # of Patients
in Value-based Contracts
(Jul ‘21 to Jul ‘22)
Improved Per Patient Revenue
(Q1 ‘20 to Q1 ‘23)
Founder & Board Member
Physician Housecalls
Council Capital’s expansive CEO Council network has opened doors with managed care organizations and provider partners that I could not have done on my own.”
The information presented herein reflects the experience of a specific client and may not be representative of all clients. This case study is for illustrative purposes only. Past results do not guarantee future performance. Quotes are from current or former Council Capital portfolio companies; no one was compensated for such testimonials, and there are no material conflicts of interest.
