Take risk. Keep your independence.
Empire Gate gives independent practices the economics, tooling, and clinical support to win in value-based care, without an acquisition and without losing control of your practice.
Six reasons providers join Empire Gate.
Predictable capitation
Move from claim-by-claim billing to dependable monthly payments tied to your attributed members.
Shared surplus
When care is well managed, the savings are shared. You earn on the outcomes you drive, not only the visits you bill.
Independence intact
No acquisition, no rebrand, no loss of control. You stay independent; we handle the contracting and the operations of risk.
Risk adjustment & coding
Certified coders and point-of-care documentation support capture your panel's acuity accurately and compliantly.
Quality & care management
Support for quality gaps, annual wellness visits, and high-risk members, so outcomes and scores move together.
Technology & analytics
A live view of your panel: gaps, utilization, rising risk, and where the next best action sits.
Five steps from fee-for-service to surplus.
Join the network
Contract once with Empire Gate; we structure the health-plan arrangement.
Members attributed
Health-plan members are attributed to your panel.
Monthly capitation
Predictable per-member payments replace the billing grind.
Analytics & support
We surface gaps and next best actions, with coding, quality, and care teams behind them.
Shared surplus
Manage care well, and share in the surplus the network creates.
See how shared surplus could add up.
Move the sliders to explore the shape of the opportunity for a panel like yours. These are illustrative figures, not an offer; we will build the real numbers with you.
Surplus scenarios: conservative 2%, expected 5%, aggressive 8% of managed premium.
Estimated annual surplus to the practice, before taxes and any program costs. Illustrative only; actual results depend on the plan, the population, and performance. Replace the assumptions with your modeled figures before sharing externally.
Get the real number for your panelSurplus is not luck.
It comes from a focused set of levers, worked patiently, member by member. These are the places where value-based performance is actually made.
Risk-adjustment gap closure
Capture true panel acuity through complete, compliant documentation.
Avoidable ED reduction
Redirect non-emergent visits to the right, lower-cost site of care.
Inpatient & readmission management
Tighten transitions of care to keep members out of the hospital.
HEDIS quality-gap closure
Close measurable quality gaps that drive both outcomes and ratings.
Annual wellness visit completion
Bring members in early to plan care before problems escalate.
Referral leakage control
Keep referrals inside high-value, well-coordinated networks.
Unseen-member outreach
Reach newly attributed and unseen members before risk compounds.
Rising-risk stratification
Find members trending toward high cost while intervention still works.
Provider-level variation
Surface cost and quality variation, then coach toward the best patterns.
Post-acute & SNF spend
Manage skilled-nursing and post-acute utilization, the costliest tail of care.
What partners ask first.
Do we stay independent?
Yes. There is no acquisition and no rebrand. You keep your patients, your name, and your clinical decisions. Empire Gate handles the payer contracting and the operations of risk around you.
What is capitation, in plain terms?
Instead of billing for each visit, you receive a predictable monthly payment for each attributed member. Manage their care well, and you share in the surplus those savings create.
What does joining cost the practice?
The model is built to reward performance, not to add overhead. We will walk through the specific economics for your panel before anything is signed, so the arrangement is clear from the start.
Who handles risk adjustment and quality work?
We do, alongside your team. Certified coders, point-of-care documentation support, and care-management resources sit behind the network, so the heavy lifting does not fall on your front desk.
What kinds of practices fit?
Primary care and multispecialty practices in New York that see managed-care and value-based members, from solo offices to larger groups. If you see members in risk-based plans, there is likely a fit worth exploring.
We are a health plan. How do we work with Empire Gate?
We contract as one accountable network and can take delegated risk for the populations you serve, with the risk-adjustment accuracy, quality work, and reporting that plans expect. Reach out and we will scope it together.
Bring your organization into value-based care.
Tell us who you are and we will tailor the conversation.
Opens your email app, addressed to our partnerships team.