We provide cloud-based software and services for organizations focused on improving the value equation in healthcare.
Health Plans
Health plans are at the forefront of Value-Based Payment transformation. The challenge is how to best manage today's reality while shaping tomorrow's possibility. It's not easy.
We're here to help. Our team understands the nuances of the health plan market so we can assist you along your VBP journey. No two health plans are alike, so our platform adapts to your business needs and demands.
We've created the SpectraMedix VBP Performance Suite of applications to advance your VBP agenda. This integrated suite provides:
Advanced VBP contract modeling that helps you drive win/win relationships with your providers.
Payer and provider portals to arm your network with the actionable intelligence it needs to succeed.
Cohort management to align your network around specific member populations.
Advanced analytics that your data analysts can use in self-service mode to uncover new trends and opportunities for improvement.
Support for all lines of business including Medicare, Medicare Advantage, Medicaid, commercial, and privately insured.
In 2011, the U.S. Department of Health and Human Services (HHS) released guidelines for the development of accountable care organizations (ACOs). The aim: to construct a better way to provide coordinated care across care settings.
As intermediaries working with health plans and providers ACOs create win/win contracts that optimize costs while improving care. Today, ACOs remain at the forefront of VBP efforts as the vision of better care at a lower cost continues.
Integrated Delivery Networks (IDNs) play in the provider, ACO, and health plan arenas all at the same time.
SpectraMedix helps ACOs and IDNs accelerate their VBP journey. We do this with an innovative set of applications called the SpectraMedix VBP Performance Suite.
Value-Based Payment (VBP) is the future of Medicaid. Transformation projects across several states are already underway. Effective intel across multiple clinical, quality and financial domains is critical.
We started in 2014 helping 1115 Waiver efforts which we continue to support nationwide today. We helped Performance Provider Organizations (PPOs) under New York's DSRIP program realize some amazing results as they drove better quality care at a lower cost within their region.
We also provided the platform used by a leading Medicaid health plan in California to save millions of dollars through a TCPI grant.
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