QUALITY WITHOUT COMPROMISE

Shift to Value-Based Care

Prioritize patient outcomes with a model that benefits hospitals and providers as well as patients.

EVOLVING HEALTHCARE

A Consumer-Centric Approach to Care

The healthcare business landscape is evolving as patient care outcomes have become a priority. Intuitive Health’s dual care emergency and urgent care (ER/UC) model supports this shift to a value-based reimbursement method. Consumers, payers, and healthcare providers all benefit from this innovative approach to care.

Our innovative solution is designed to protect attributed lives while optimizing total cost of care under CIN, ACO and health plan risk contracts. Our model provides a structured way to align consumer expectations with financial sustainability in a risk-bearing environment. And patients requiring follow-up are directly routed into system primary care, specialty services or population health programs — strengthening downstream revenue capture and contract alignment.

Strengthen Financial Performance

Under value-based reimbursement, financial performance depends on controlling total cost of care. Intuitive Health’s hybrid ER/UC model improves margins by redirecting low-acuity patients from high-cost ED billing, reducing ED diversion, and minimizing left-without-being-seen losses. Patients are routed appropriately within risk contracts, supported by clear care navigation and structured follow-up to help close care gaps.

The model strengthens attributed lives by retaining referrals within the health system, reinforcing CIN and ACO network integrity, and stabilizing medical loss ratios for provider-sponsored health plans. Health systems preserve margins by enabling:

  • Optimized risk-based patient routing and utilization management
  • Improved payer mix and contribution margins across acuity
  • Increased downstream service line capture and ED throughput

Retain the Patient and Your Margin

Intuitive Health’s dual ER/UC model delivers a retail healthcare experience built on choice, transparency, and convenience—meeting consumer expectations while supporting strong financial performance. A partnership with Intuitive Health helps systems:

  • Protect key markets and align care across the enterprise
  • Route patients to employed and CIN-affiliated providers to strengthen contracts
  • Reduce ED strain while maintaining transparent, compliant billing

Facilities integrate seamlessly with enterprise EMRs and population health infrastructure, enabling consistent performance management. The result is measurable gains in margins, attribution stability, and population health—building lifetime patient value.

FINANCIAL OUTCOMES

Explore the Financial Outcomes of the Dual-Model

Learn how the dual ER + urgent care model supports value-based strategies while strengthening payer mix, cost efficiency, and enterprise performance.