A value-based payments analytics platform designed for health plans that want to foster deep clinical and cost analysis through episodic claim grouping and network analysis.Contact Us
Improve Value-Based Reimbursement Program Results
Accelerate your value-based initiatives by quickly analyzing and understanding episode costs.
Drive cost and quality improvements by targeting variations in care delivery and provider performance.
Build provider adoption and engagement with data-driven, evidence-based discussions about total episode costs and individual provider practice patterns.
Empower value-based strategies through analytics, providing insights to help guide network optimization and clinical transformation.
Episode Analytics to Guide Your Value-Based Care Transition
- Identify value-based care opportunities through an analysis of episode costs, leveraging clinically validated episode definitions.
- Target providers to engage in value-based discussions through an analysis of utilization, costs, and care variations.
- Leverage episode analytics to help optimize network designs, transform clinical guidelines, and improve consumer engagement.
Budgets and reconciliation
- Streamline episode budget creation by defining average episode costs and associated clinical services.
- Compare performance against episode budgets and targets, as well as bundled payment and fee-for-service costs, to measure savings.
- Leverage detailed, consistent reporting to help enhance provider trust and support for value-based initiatives.
Advanced episode analytics
- Use drill-down dashboards and standard reports to highlight provider-level cost and care variations.
- Help providers recognize total episode costs by patient to reform practice and referral patterns.
- Build provider collaboration through transparent, data-driven discussions.
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Value-based Reimbursement State-by-State
Review current state strategies in this national study of state value-based payment models.
Assess, Automate and Expand Episode-Based Payment Models
Our HealthQx® product is designed to help you assess, automate, and expand episode-based payment models.