Value-based payment initiatives have moved beyond isolated pilots for small segments of members and providers. Today’s healthcare organizations need sophisticated technology to manage complex programs with various payment models across all lines of business.
Population Payment Management (PPM) is the largest and most comprehensive value-based payment (VBP) processing platform on the market. Our SaaS-based solution supports thousands of VBP contracts across all HCPLAN categories, covering over 20 million lives and connecting payers and providers to create transparency and establish a single source of truth for value-based contracts.
PPM’s actuarially sound configurable framework helps payer and provider organizations more effectively manage attribution and deliver real-time financial benchmarking, performance monitoring, and financial settlements for both primary care and specialty value-based payment programs. And with AI-powered forecasting and insights, PPM gives payers and providers the confidence they need to scale their value-based programs.
Edifecs’ Population Payment Management solution can help healthcare organizations overcome those challenges and accelerate the shift to value.
With the ongoing shift to value-based care, today’s healthcare organizations have to manage complex programs with a wide variety of payment models across all lines of business. To do so effectively, they need sophisticated technology solutions that are designed to scale and support the full range of value-based programs and payment arrangements.
In this video, we outline how Edifecs’ Population Payment Management solution helps payers improve trust, transparency, and collaboration with provider partners to accelerate the growth of their value-based initiatives.
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Learn how Edifecs can help you achieve these outcomes.
Deliver the transparency and clarity provider partners need to enter into alternative payment models with confidence.
Gain real-time insights into financial, quality, and contractual outcome performance to improve provider engagement and maximize value-based opportunities.
Predictive modeling leverages ML and AI technology to deliver an accurate picture of expected provider performance in different payment arrangements and/or methodologies.
Deploy pre-configured value-based program templates and workflows, or design new program templates based on your organization’s needs and goals—all from one centralized hub.
Accelerate time-to-market with new programs built on the templates of previously successful models. Identify value-based opportunities and determine risk readiness with historical and ongoing analysis.
