Alara Healthcare · Management services

Management services for value-based primary care.

Alara Healthcare is a Florida management services organization. We take on the operational work of risk contracts, delivered on Alara Population Health, so your clinicians can focus on patients.

New to the model? What a management services organization does, and what it does not

Service lines

Seven service lines. One platform underneath.

Every service is delivered on the platform, so the work is visible, owned, and measured.

Risk Adjustment

Powered by Risk IQ

Documentation and coding review, RAF file generation, supplemental (ASM) submissions, RADV audit readiness, risk stratification and member profiling, provider education.

Quality & HEDIS

Powered by Q-Track

Measure tracking against year-end benchmarks, gap closure outreach that runs all year, a roadmap to 5-Star performance, annual quality audits, provider performance dashboards.

Care Programs (TOC / CCM)

Powered by Work List

Program design, care coordination staffing, outreach support, and high-utilizer analytics for transitional and chronic care management, delivered under the partner practice's clinical supervision. Clinical services are always provided by a licensed practice, never by Alara Healthcare. Care Bridge will bring transitions of care into the Work List.

Administrative & Operational Support

Revenue cycle management support, practice management optimization, value-based care onboarding, credentialing and payer enrollment, contract review and negotiation support.

Compliance Management

Powered by Risk IQ Audits

Regulatory monitoring, policy development, staff training, self-audits with OIG-modeled templates in Risk IQ, audit preparation and response, risk mitigation.

Data & EMR Integration

Powered by Data Management

Payer file onboarding, schema and column mapping, data quality remediation, EMR workflow optimization, template development, training.

How an engagement works

Three steps to a running contract.

  1. 1

    Assess

    We review your contracts, attributed panel, and file deliveries, and set the delivery calendar.

  2. 2

    Onboard

    Your instance is configured: sources, mappings, locations, roles. The first full delivery fills the screens.

  3. 3

    Operate

    A monthly cadence of gap work, submissions, and reconciliation, with quarterly performance reviews.

Fees

Priced in advance.

Fair market value

Alara Healthcare sets its fees at fair market value for the services provided. Pricing is set in advance and stated in the written services agreement before anything starts. Depending on the engagement that is a flat fee for each participating provider each month, or a per-member-per-month administrative fee. No fee is ever a share of your collections or your revenue, and no fee is tied to the volume or value of referrals. The platform licence is stated separately.

Ready to see what your panel is leaving on the table?