Increase quality. Shorten time to market. Reduce medical and operating costs. Ensure compliance.
Edifecs Value-Based Care is a single integration point for clinical, financial and administrative information received from disparate sources. The solution unifies end-to-end program management, identification of at-risk populations and evidence-based interventions to align program goals with care delivery operations.
Our approach delivers a turn-key solution to remove volume to value barriers by turning traditionally siloed data into usable intelligence for the entire enterprise.
With Edifecs Trading Platform, existing financial flows can be leveraged to capture fee-for-service payments and linking them to a Value Based Reimbursement program. Edifecs Trading Platform comes pre-configured with the relevant financial transactions from which the costs and certain health outcomes can be derived.
Edifecs Trading Platform also supports extending the flows with new quality related transactions (e.g. clinical information), which can be agreed between health insurers and healthcare providers. The Edifecs Population Payment Solution can then take into account these transactions in the overall Value Based Reimbursement program.
Edifecs Population Payment solution offers a template approach to Value Based Reimbursement programs and a very high level of configurability in terms of program parameters.
The templates are a combination of quality and financial parameters, which can be reused for new shared saving programs and can also be extended by changing the parameters and by changing or adding to the libraries of quality measures and financial agreements.
Edifecs Population Payment Administrator contains four main capabilities: Target, Design, Administer and Optimize.
The target and design capabilities are offered to analyze and define the scope of the Value Based Healthcare program.
With the administer capability the program can be monitored in near real-time, including financial settlement.
The optimize capability is offered to change the quality and financial parameters of the population payment program, which enables low cost experimentation.