Better insights. Better contracts. Better performance.

The SpectraMedix VBP Contract Navigator enables payers to create better VBP contracts. It also allows them to actively identify and manage the value levers that have the biggest impact on network performance and contractual revenue.

It does this by bringing structure, simplicity, efficiency, and transparency to the entire value-based contracting process—from negotiations to development to implementation to reconciliation.

How it Works

The SpectraMedix VBP Contract Navigator provides health plans and their providers a collaborative solution to model, implement, analyze, and advance mutually beneficial contracts.

CM Market Stats 1 - WITH MONITOR

Model Terms

Model alternative financial and quality performance scoring methodologies, risk assumption options, and other contract terms for your commercial, Medicare, Medicare Advantage, and Medicaid business lines.

Empower Providers

Identify, evaluate, prioritize, and pull the “value levers” that impact utilization, cost, and quality. Identify and implement opportunities for improvement, including creating narrow networks or high-performance networks.

Maximize ROI

Project and maximize your return on investment for VBP contracts with our ROI modeling capability that addresses the key areas the impact your bottom line. 

 

Benefits

The SpectraMedix VBP Contract Navigator makes contract modeling for payers and their provider networks:

Efficient

Enables users to model a VBP contract in under an hour.

Simple

Provides the ability to create and implement a VBP contract with limited external support.

Accurate

Delivers a proven methodology to model a VBP contract.

Consistent

Avoids the variability of manual modeling efforts.

Permanent

Provides for the storage of contract terms, both considered and implemented.

Transparent

Serves as a vehicle to share methods and assumptions with provider groups.

Interoperable

Shares data with SpectraMedix analytics and cohort manager solutions.

Supportive

Identifies viable provider candidates for expansion and growth efforts. 

Key Features

Flexible Market Definitions

For defining contract terms including line of business, product line, and geography.

Custom Attribution Models

Build custom attribution models that combine both plurality-based algorithms and voluntary alignment.

High-Performance Network Creation

Create high-performance networks, including determining a common measure set, quality benchmarks, cost benchmarks, and anchoring them to VBP contracts.

User-Defined Contract Terms

Base your contracts on the terms that matter most, including alternative budget methodologies, stop-loss limits, shared savings-loss corridors, and quality scoring.

Standard VBP Contract Templates

Test alternative contract terms to come up with an agreement to offer to a specific group or to use as a standard contract.

Adaptability and Flexibility

VBP arrangements are continuously evolving—the VBP Contract Modeler is regularly updated and configured to serve existing and changing requirements.

Download the VBP Contract Navigator Solution Overview

Want to learn more about how the VBP Contract Navigator can enable your health plan and your network achieve better contracts and performance? Access the product overview.  

Download the Overview

Ready to upgrade your VBP Contracting efforts?