Payment Design & Analytics
Bridging complex data and analytic gaps to drive market efficiency and build the future of value-based health care
Third Horizon is at the forefront of advancing value-based care through data-driven solutions and implementing alternative payment models (APMs) and other incentive structures to create scalable solutions. Third Horizon excels in this domain by partnering with and learning from innovative clients who are disrupting the status quo.
The firm focuses on supporting the implementation of industry-leading capabilities such as health care cost transparency, value-based payment models, total cost of care solutions, network performance analysis, population health management, risk adjustment, and episodes of care analytics. By leveraging its integration and analytic platform, Third Horizon helps health care organizations extract valuable insights necessary for the successful implementation of value-based care. Through a macrosystem approach, Third Horizon deploys its subject matter expertise to design APMs that have the potential to increase access, improve the quality of the services, advance health equity, and incentivize the linkage of the continuum of care to improve health outcomes.
What We Do
Data Infrastructure
Uniquely qualified and experienced in building high performance computing cloud environments for claims ingestion, groupers and risk modeling, Third Horizon helps you stand up secure data hosted environments that process and integrate health care data, promote analysis and enable collaboration
Data Reports and Analytics Applications
Custom builds of data reports and front-end applications for client use cases to provide ongoing benchmarking intelligence in your specific operating markets
Starset Analytics
A data platform for Transparency in Coverage (TiC) data processing, analytics, and product development. Deployed as a hub-and-spoke data system model, the platform extends to offer analytic code packages to create materialized semantic data layers for exploratory data analysis, comparative rate descriptive analytics, and statistical model for data reporting and visualization
Network Performance Analysis Tool
An application of the Starset Analytics Platform, the tool provides granular insight into evaluating and informing network and provider strategies using Transparency in Coverage (TiC), claims and quality data
Advisory Projects and Actuarial Modeling
Advisory and actuarial services on a project basis through our experienced team of health care data scientists and consulting actuaries to help you develop and implement cost containment solutions and alternative payment and value-based care models
APM Development
Assess client readiness to participate in population or episode-based payment model and design models unique to the needs of the provider, payer, and patients that increase access and improve outcomes through high-quality care
Lead Contact
Ashley DeGarmo
Managing Director for Payment Design and Analytics and Vice President of Client Services
Ashley DeGarmo is a health policy consultant with experience in alternative payment model development, strategic advisory, and expertise in behavioral health care. Ashley oversees client engagements and manages operations across several areas of the firm, in addition to directing the work for the payment design and analytics advisory area.
Explore our other advisory areas
Behavioral Health
Enhancing behavioral health prevention, treatment, and recovery systems of care to improve access and quality
Community Health
Advancing the vitality of all communities through digital and person-centered solutions to strengthen health and social services