Health Plans & RBOs

Strengthen Care Delivery and Your Bottom Line

Health plans and risk-bearing organizations (RBOs) face increasing pressure to effectively manage and administer complex, multifaceted risk pool agreements and respond to stakeholder requests for risk pool funding.

As the health care industry moves away from rewarding providers for volume and shifts to rewarding for value, organizations need to embrace this paradigm change and thoughtfully prepare for it. In the complicated managed care environment, the risk-based health care model continues to rise in popularity. The model has significantly evolved since its development more than 25 years ago, and many organizations engaged in risk contracting lack the industry-based expertise to support developments and effectively manage their membership.

Our professionals have roots in California, the epicenter for managed care and RBOs since they first rose to prominence. Immersed in risk-based health care for decades, our professionals understand how to make smart business decisions and find innovative solutions that drive growth and strengthen your bottom line.

How We Help

We can assist your organization with:

Who We Serve

We work organizations of all sizes including:

  • Accountable care organizations (ACOs)
  • Coordinated care organizations (CCOs)
  • Dental plans
  • Exclusive provider organizations
  • Insurance exchanges
  • Independent practice associations (IPAs) and medical groups
  • Knox-Keene plans
  • Managed care and service organizations
  • Medicaid health plans and Medicare advantage plans

2025 Executive Health Care Conference

Explore challenges and opportunities facing health care leaders and how your organization can strategize for the future.



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Industry Professionals

Baker Tilly US, LLP, Baker Tilly Advisory Group, LP and Moss Adams LLP and their affiliated entities operate under an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly Advisory Group, LP and its subsidiaries, and Baker Tilly US, LLP and its affiliated entities, trading as Baker Tilly, are members of the global network of Baker Tilly International Ltd., the members of which are separate and independent legal entities. Baker Tilly US, LLP and Moss Adams LLP are licensed CPA firms that provide assurance services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and consulting services to their clients and are not licensed CPA firms. ISO certification services offered through Moss Adams Certifications LLC. Investment advisory offered through either Moss Adams Wealth Advisors LLC or Baker Tilly Wealth Management, LLC.