Direct Contracting

Success in value-based contracts is dependent on using data to get the right care to the right people at the right time. Cyft helps organizations thrive at each step of their value-based journey.

Supporting the Value-Based Journey

Direct Contracting - High Needs

In the DC-HN model, CMS aims to improve upon past ACO models by pushing between 50% and 100% of the financial risk to the provider, with an emphasis on care for the seriously ill population.

Our Direct Contracting solution features:

Strategic guidance and support

  • Customer-specific pro formas to calculate potential DCE performance

  • Identification of providers in your area with high needs eligible patients

  • Application guidance and support

  • Funds flow models for allocating shared savings and losses

Advanced machine learning models that prioritize patients

  • At risk for preventable admissions and ED visits

  • Most likely to benefit from palliative support

  • With HCC coding opportunities

Performance reporting in aggregate or at the site level to benchmark

  • Total cost of care & spend trajectory
  • Admission and readmission rates
  • HCC trend information
  • Number of aligned beneficiaries

Nightly updates of admission, discharge, transfer information