Cascala Health | Value Based Care Organizations

The Barriers to Real Impact in Value-Based Models

Value-based care is the future — but getting there is hard. At Cascala, we understand the obstacles that keep organizations from realizing their full potential.

Fragmented Systems

Disconnected EHRs, unstructured data, and inconsistent workflows make coordinated care difficult and lead to avoidable costs and poor patient experiences.

Documentation & Coding Gaps

Undercoding and documentation burden limit revenue potential and expose organizations to audit risk — all while overwhelming clinical teams.

Reactive Utilization Management

Most tools rely on lagging indicators, leaving care teams reacting to high-cost events instead of preventing them.

Unaddressed Equity

Many organizations lack the SDOH data and infrastructure to identify and address disparities — limiting performance on equity benchmarks.

Wherever you sit on the value-based care spectrum, Cascala equips you to drive better outcomes.

Delegated Risk Providers

For organizations managing delegated risk in Medicare Advantage or Medicaid, Cascala delivers:

Capitation strategy support:
Optimize utilization and resource allocation to stay ahead of cost trends and meet performance thresholds.

Proactive population health:
Use real-time predictive insights to identify rising-risk patients and activate targeted outreach programs.

Documentation integrity:
Improve clinical documentation and encounter capture to maximize appropriate payment and reduce audit risk.

Clinically Integrated Networks

For provider networks coordinating care across multiple settings, we offer:

System-wide care coordination:
Break down silos between hospitals, specialists, and primary care teams to streamline care transitions and reduce duplicative services.

Readmission reduction:
Deploy intelligent alerts and automated workflows to intervene early and prevent avoidable readmissions.

Quality improvement insights:
Drive measurable improvement on HEDIS, Star Ratings, and patient experience metrics

Bundled Payment Participants

For organizations engaged in episodic payment models, Cascala facilitates:

Episode-level analytics:
Understand the drivers of cost variation across episodes and benchmark performance.

Post-acute optimization:
Ensure timely and appropriate post-acute care utilization to reduce episode spend without compromising outcomes.

Specialty alignment:
Deliver actionable insights to engage high-volume specialists and improve care consistency across sites.

Built for Value-Based Success

Tailored to Your Risk Model:
From upside-only arrangements to full capitation, our tools flex to your payment model — driving efficiency, performance, and margin.

Intelligent Care Activation:
AI-powered triggers surface the right intervention for the right patient at the right time — without adding workflow burden to providers.

Secure and Seamless:
No new portals. We integrate with your web based EHR's to accelerate adoption and minimize friction.

Value Based Care Organizations