Payers

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Karna delivers solutions to health plans, brokers, and third party administrators.

Health plans have been engaging in Population Health Management (PHM) activities for many years — stratifying group populations by risk, identifying high-cost conditions and enlisting members for participation in disease management programs. However, now payers are collaborating with providers and integrating PHM principles and technologies in an unprecedented approach to curtailing costs and delivering value.

Strategic Consulting

We help payers and brokers navigate rapidly changing employer and compliance environments. We provide senior health professionals that can inform evidence-based programs and advise on specific applications of actuarial data to pragmatic strategies. By applying what is already proven to novel circumstances and working with payers and brokers, we arrive at program designs that innovate and provide greater customer engagement. We provide a repeatable strategic framework from which to launch and sustain multiple platforms.

Evidence-Based Benefits Evaluation and Planning

Karna helps guide payers and brokers in creating benefit plans that address changing customer population requirements.  We provide public health evidence to aid in the process of deciding what health benefits are most effective for particular employers.  Our experienced staff provides a framework for continuous evaluation of effectiveness over time as well as an economic analysis to validate return-on-investment value propositions for payers and brokers.  In all cases, we help link outcomes with scalable sustainability.

Chronic Disease Management Evaluation and Design

We rely on validated approaches to evaluate existing disease management strategies.  We establish appropriate evaluation frameworks and then compare programs to others that are already validated in order to refine or redesign programs to yield greater clinical and cost outcomes.

Healthy Eating Management Program Integration

One of our most common engagements with health plans is helping design programs to measure and engage members in healthy behaviors, often described as weight management. After identifying target populations, we work with our clients to determine the most appropriate healthy lifestyle programs, including self-help, coaching, medical, surgical, and alternative strategies.

Opioid Use Treatment Integration and Coordination of Care

We help design programs to coordinate care, provide community education, psychosocial services, interventions and recovery support to support long term improvements in care.  We also provide a framework to allow for more effective provider collaboration in coordinating care among patients undergoing treatment.  We provide assistance calculating Return-On-Investment valuation of existing and proposed systemic treatment strategies so that payers and brokers can advise employer customers of most sustainable programs.

Patient Engagement and Social Determinants of Health

Karna’s understanding of engaging populations based on where they are born, live, learn, work, play, worship and age enables us to create programs specific to meet their needs. We have seen a dramatic effect on health outcomes by reaching members where they are and creating engagement to impact their health in a manner that is culturally and linguistically appropriate.  By providing evidenced-based approaches to patient engagement, we ensure that the right plans are applied to the right members at the right time and in the right manner.

Karna expertise

  • Chronic Conditions

  • Diabetes, Obesity

  • Environmental Health

  • Childhood Lead

  • Health Equity and Social Determinants of Health

  • Emergency Response

  • Infectious Disease and Vaccinations

  • Violence Prevention

  • HIV/AIDS and other STDs

  • Behavioral/Mental Health

  • Substance Abuse/Tobacco Control

  • Maternal and Child Health

  • Global Health

  • Healthcare Quality Measurement and Improvement

  • Aging and Gerontology

  • Alzheimer’s Disease

Karna solutions

  • Public Health Research and Support

  • Technical Assistance

  • Childhood Lead

Explore Solutions

Health Analytics
Evaluation
Health Communication
Public Health Research
Population Health Applications
Tailored TPA
Technical Assistance
Training

CONTRACT VEHICLES

Karna is available through a variety of contract vehicles, including:

  • GSA Multiple Award Schedule (formerly PSS) contract GS-10F-0332Y
  • GSA Multiple Award Schedule (formerly GSA IT 70) contract GS-35F-393AA
  • CDC NCIRD Immunization Consulting and Research Arm (ICRA) IDIQ (Large and Small Business awards) 200-2015-87991
  • GWAC Chief Information Officer–Solutions and Partners 3 B (CIO-SP3B) 75N98120D001239

As a member of the Celerian Group of companies, Karna has access to additional contract vehicles, including:

  • Strategic Partners Acquisition Readiness Contract (SPARC)
    Strategic Partners Acquisition Readiness Contract (SPARC) is an IDIQ contract in support of the CMS to modernize business processes and support systems and their operations.
  • Centers for Medicare & Medicaid Services (CMS) Virtual Data Center
    The Virtual Data Center has indefinite delivery, indefinite quantity (IDIQ) designed to meet a broad range of computing needs for the Centers for Medicare & Medicaid Services (CMS). Services acquired through this vehicle must fully meet all of the CMS design, engineering and data security standards.
  • One Acquisition Solution for Integrated Services (Pool1)
    OASIS Pool 1 is a GSA wide Acquisition Contract (GWAC) that provides administrative, management, scientific, technical, and marketing services. A wide range of consulting and management support can be acquired through this vehicle.

We have partnerships with a number of large and small businesses that make it possible to contract with Karna in other ways. Please reach out to us for more information at contracts@karna.com.

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