A value based payment solution for payers that want to integrate prospective payment models into their existing claims workflows.
Streamline program administration by identifying episodes from a trigger claim within your existing claims system workflow and bundle all episode claims in near real-time.
Integrate fee-for-service pricing by using both Episode Manager and ClaimsXten on the same technical platform, allowing for an efficient mixed model payment approach.
Configure your own episode definitions or leverage Prometheus or CMS episode definitions.
Develop and manage bundled payment programs that help define your episodes or reevaluate your existing strategy.