Health plans and providers are moving beyond analytics-driven pilots to full-scale operational value-based reimbursement (VBR) programs. Critical to this shift, is the alignment of financial and clinical data, administrative and contract automation, as well as transparency to control costs.
35% of all reimbursement will be value-based in the next 36 months1
MSSP programs to grow to 7.2 million lives in 20152
Over 50% of VBR contracts in the next 36 months will have downside risk3
Our goal is to have 85% of all Medicare fee-for-service payments tied to quality or value by 2016, and 90% by 2018.
Identify savings opportunities and design outcomes-based programs
Automate the administration of value-based contracts and programs
Enable proactive transparency and tooling to drive provider adoption
Decision support to market new ACO products to employers to improve competitive differentiation
Identify savings opportunities and potential revenue risks
Adapt to VBR programs from multiple payers without increasing administrative burden
Deliver timely and accurate insights into accounts receivable from VBR programs
Identify network leakage