Health Coaching for Provider Groups

Strengthen integrated care, improve quality measures, and maximize shared savings through credentialed health coaching across your entire network.

Purpose-built for ACOs, MSOs, multi-clinic networks, and integrated care teams.

NHCN health coaching is designed for provider groups operating in value-based models. Our credentialed coaches integrate seamlessly with your clinical teams, support your quality metrics, and help you capture shared savings — delivering both clinical excellence and financial success.

Why Health Coaching Matters for Provider Groups

Maximize Shared Savings

Health coaching improves quality measures, reduces unnecessary utilization, and lowers medical costs. Coaches help your group achieve benchmarks and capture ACO/value-based shared savings.

Improve Quality Measures

Achieve your HEDIS, STARS, and clinical quality targets through systematic disease management and preventive care coordination. Coaching drives outcomes that payers reward.

Strengthen Care Coordination

Coaching bridges the gap between primary care and specialty, improves patient engagement, and supports your care coordination infrastructure across the network.

Reduce Unnecessary Utilization

Coaching reduces ED visits, hospitalizations, and readmissions through better disease management, medication adherence, and lifestyle change. Lower costs = higher margins.

Four-Part Coaching Strategy for Provider Groups

High-Risk Population Management

Target and engage your highest-cost, highest-risk patients with intensive coaching:

? Risk Stratification: Claims-based targeting of high-risk groups
? Disease Management: Intensive coaching for complex chronic conditions
? Readmission Prevention: Post-discharge coaching for high-readmission diagnoses
? Cost Reduction: Focus on highest cost drivers in your population
? ROI Optimization: Maximize return on coaching investment

Quality Measure Optimization

Systematically improve your quality metric performance:

? HEDIS Metrics: Improve diabetes, hypertension, lipid, and preventive measures
? STARS Ratings: Focus coaching on your lowest-scoring domains
? Clinical Outcomes: Better disease control, medication adherence
? Patient Experience: Improved CAHPS scores through better engagement
? Measurement & Reporting: Track outcomes against targets

Care Coordination Integration

Seamlessly integrate coaching into your care coordination infrastructure:

? EHR Integration: Coaching notes and outcomes in shared clinical record
? Referral Workflows: Efficient referral from providers to coaches
? Care Team Coordination: Coaches aligned with care managers, social workers
? Telehealth Ready: Remote and in-person coaching across network sites
? Network Standardization: Consistent coaching across all clinics

Shared Savings Capture

Maximize your financial performance in value-based arrangements:

? Cost Reduction: Lower medical costs through coaching interventions
? Utilization Management: Reduce ED, inpatient, specialist overutilization
? Quality Bonuses: Achieve quality targets for payer bonuses
? Shared Savings: Capture percentage of savings as ACO/MSO participant
? Financial Reporting: Track coaching ROI and savings attribution

Health Coaching Impact on Value-Based Models

25%

ED Visit Reduction
Fewer unnecessary visits

30%

Readmission Reduction
Better post-discharge support

15%

Inpatient Days Reduction
Less hospitalization

20%

Cost Savings
Per coached patient

Quality Measure Impact

? Diabetes A1C Control: 1.5% avg reduction
? Hypertension Control: 18/12 mmHg reduction
? Medication Adherence: 40% improvement
? Preventive Screenings: Increased completion
? Patient Engagement: Higher CAHPS scores

Utilization Impact

? ED Visits: 25% reduction
? Hospitalizations: 15% reduction
? Readmissions: 30% reduction
? Specialist Visits: Optimization
? LOS: Shorter stays, better outcomes

Financial Impact

? Cost Per Patient: $2,000-$5,000 savings
? ROI: 3:1 to 5:1 return
? Shared Savings: Increased capture
? Quality Bonuses: Achievement of targets
? Risk Adjustment: Better documented complexity

Tailored Solutions for Your Organization Type

ACOs & Medicare Shared Savings Programs

Health coaching directly supports MSSP performance:

? Quality Benchmarks: Hit CMS quality targets
? Cost Benchmarks: Beat risk-adjusted benchmarks
? Shared Savings: Maximize percentage of savings retained
? Sustainability: Long-term financial viability
? Network Integration: Coaching across all participating clinics

MSOs & Multi-Clinic Networks

Standardize and scale coaching across your network:

? Network Standardization: Consistent coaching protocols
? Coach Management: NHCN handles credentialing & QA
? Technology Platform: Health Coach Link for all sites
? Outcomes Reporting: Network-wide dashboards
? Cost Efficiency: Leverage buying power, scale economics

Integrated Delivery Systems & IDNs

Embed coaching into your integrated care model:

? Care Coordination: Coaches as part of clinical team
? EHR Integration: Seamless information sharing
? Specialty Integration: Coaching supports all specialties
? Population Health: Systematic approach to cohorts
? Financial Models: Flexible arrangement options

Value-Based Care Teams & Clinics

Support clinics participating in value-based arrangements:

? Boutique Programs: High-touch care models
? Advanced Primary Care: Support for medical homes
? Specialty Collaboratives: Cardiology, diabetes, etc.
? Direct Contracting: Coaching as part of bundles
? Payer Partnerships: Health plan aligned programs

Implementation at Network Scale

Network Assessment & Strategic Planning
Evaluate your population, value-based contracts, and coaching opportunity. Develop network-wide strategy aligned with ACO/MSO goals.
Coach Recruitment & Onboarding
Identify coaches for all network sites. NHCN manages credentialing, verification, and QA across the network.
Technology & Workflow Integration
Integrate Health Coach Link with your EHR. Establish referral workflows and care coordination protocols across sites.
Provider & Staff Training
Train providers, care managers, and staff on when/how to refer. Education on coaching model and expected outcomes.
Pilot & Rollout
Start with pilot site(s), optimize workflows, then expand across network. Phased approach reduces risk.
Monitoring, Reporting & Optimization
Quarterly reporting on outcomes, quality measures, cost savings. Continuous optimization for maximum performance.

Provider Group Success Stories

Medicare ACO (15 Clinics)

Challenge: Struggling to hit CMS quality and cost benchmarks

Solution: Network-wide coaching for high-risk chronic disease patients

Results:

? 1,200 patients coached
? Quality targets achieved
? $2.8M shared savings captured
? 25% ED reduction
? 20% readmission decrease

MSO Network (8 Clinics)

Challenge: Inconsistent quality across network sites

Solution: Standardized coaching program with network-wide protocols

Results:

? 450 patients enrolled
? HEDIS scores improved 5%
? $850K annual savings
? Standardized processes
? Higher staff engagement

Integrated Health System (25 Sites)

Challenge: Care coordination gaps between primary and specialty

Solution: Coaching embedded in care coordination infrastructure

Results:

? 2,500 patients coached
? Care coordination improved
? $5.2M cost reduction
? 30% readmission reduction
? Integrated care model advanced

Network Financial Performance

Typical ACO/MSO Financial Model

Based on Medicare ACO with 50,000 attributed lives:

Attributed Lives	50,000
High-Risk Patients (5%)	2,500
Coaching Enrollment (60%)	1,500
Cost per Coach	$1,200
Annual Coaching Cost	$1.8M
Avg Savings per Coached	$3,000
Total Savings (1,500 × $3K)	$4.5M
Net Savings (after coaching cost)	$2.7M
ROI	2.5:1

Shared Savings Allocation

How coaching contributes to your bottom line:

CMS Benchmark: $50M

Your Actual Costs: $47.3M (5.4% below benchmark)

Gross Savings: $2.7M

Your Share (33%): $891K

Coaching cost $1.8M, savings captured $2.7M, shared savings to organization $891K

Why Partner With NHCN

Network Expertise

Deep experience with ACOs, MSOs, and integrated care organizations

Credentialed Coaches

All coaches nationally credentialed, verified, and monitored

Outcomes Tracking

Systematic outcomes measurement and network-wide reporting

Technology Ready

Health Coach Link integrates with most EHRs and care platforms

Flexible Pricing

Per-coach, per-patient, shared savings models available

ROI Focus

Proven 3:1 to 5:1 ROI on coaching investment

Quality Alignment

Coaching focused on your quality measure targets

Partnership Approach

True partnership in your success and shared savings

Ready to Strengthen Your Value-Based Performance?

NHCN can help you integrate health coaching into your network to improve quality, reduce costs, and maximize shared savings.

Schedule a Network Consultation See Coaching Outcomes