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Value-Based Care Administration

Implement purpose-built infrastructure for
value-based care networks

Value-based care networks are composed of many multifaceted and interdependent entities that must work collaboratively to be successful. This many-to-many system of relationships is complex to navigate. Healthcare organizations need an integrated, configurable data platform with end-to-end management to simplify and streamline efforts.

Using robust contract management and financial payment capabilities, payers and providers can realign downstream reimbursement, incorporate SDOH resources, and demonstrate real-time performance impact with robust dashboards. By melding value-based reimbursement programs with whole-person health models, you can deliver higher quality care, significantly reduce costs, and streamline fund transfers.

Build a patient-centric, service-focused approach to precision health challenge

Challenge
Solution

Legacy data systems are not able to utilize the unstructured data (charts, notes, images, etc.) that produces and informs actionable insights

Challenge
Solution

Traditional approaches do not support the "network of networks" infrastructure that allows scaling of value-based contracts and/or payment model adoption

Challenge
Solution

Lack of timeliness, transparency and advanced analytics in legacy systems hinders productivity, accountability and decision-making

Behind the scenes

We’ve partnered with HSBlox, an industry-leading contract and payment management organization, to empower you with the tools and support necessary to deliver value-based care successfully and sustainably in a single solution.

Read the press release to see how we are working together to enhance value-based care outcomes with data-driven insights, performance optimization, and seamless fund transfers as part of the industry’s most complete value-based care management solution.

Dive deeper into Value-Based Care Administration

Download the data sheet to see how Value-Based Care Administration helps:

  • Payers optimize networks, track performance, and manage contracts
  • Providers evaluate quality, improve payer relationships, and streamline payments

Get our take on industry trends

Why It’s Time for Healthcare to Move Toward AI Reporting

November 5, 2019

Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.

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Why Healthcare Should “Double-Down” on Exploring AI-powered BI for Reporting

October 29, 2019

Many areas in healthcare rely not only on the collection of data but, importantly, the ability to decipher and act upon it. In that intersection, reporting was born.

Read on...

Why Health Plans and Employers Need Stop Loss Reporting

September 10, 2019

Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims.

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Bridge the Payer/Provider Data Gap

August 23, 2019

Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…

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