Lead Value-Based Care Transformation 

Health plans use the SpectraMedix VBP Platform to engage their providers as partners, improve member health, and maximize financial gains.


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Benefits

 The SpectraMedix VBP Platform enables health plans and their provider networks to maximize performance in VBP arrangements across contract types and business lines. 

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Translate Contract Objectives Into Insights for Providers

  • Align quality and utilization components of contracts together with financial incentives.

  • Address gaps in care and coding, annual wellness visit compliance, and revalidation for chronic conditions.

  • Provide automated financial reconciliation and contract settlement reports down to the TIN and NPI levels.

Improve Performance Across Business Lines

  • Empower insight into how practices are performing by highlighting payouts, quality implications, and missed clinical opportunities.

  • Report VBP budget variance across VBP programs to compare side-by-side how each is performing.

  • Identify regional and market performance of your value-based contract portfolio.

Administer Value-Based Contracts at Scale

  • Automate and verify contract ingestion.

  • Design and Simulate value-based contracts efficiently and effectively.

  • Evaluate and analyze contracting scenarios quickly for success.

  • Enable health plans to standardize the modeling, measuring, and monitoring of value-based contracts.

CASE STUDY
Blue Cross Blue Shield Plan Achieves $157M in Cost Savings

 See how our Platform enabled ACOs and PCMHs participating in our leading Blue Cross Blue Shield client's value-based program to significantly improve outcomes and lower costs.

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User Roles

The SpectraMedix VBP Platform empowers users across your health plan's value-based care enterprise with solutions to your specific, role-based challenges and pain points.

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Value-Based Payment and Provider Network Teams

Easily track and manage value-based contracts and provider performance

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Chief Financial and Actuary Officers and Finance Teams

Track value-based program portfolio financial performance

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Value-Based Payment Analytics Team

Deliver financial, quality, risk, and utilization insights to health plan and provider stakeholders

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Contract/Medical Economics Teams

Model and adjust value-based contracts to maximize revenue and promote cost-effective care

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Providers and Non-Physician Practitioners

Provide detailed transparency into quality, risk, and financial performance

Solutions

We've created the SpectraMedix VBP Platform to advance your value-based care agenda across the overlapping cost, quality, utilization, attribution, and risk management priorities that impact you and your provider networks.

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Financial Reconciliation

SpectraMedix is the trusted partner for health plans across the country in delivering the financial reconciliation insights they need to excel in value-based arrangements.

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VBP Analytics Suite

Our VBP Analytics Suite gives health plans increased insight into value-based arrangement performance. It includes dashboards and operational functions to better track and manage quality, cost, and utilization across the network.

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VBP Contract Modeler

The SpectraMedix VBP Contract Modeler enables health plans to create better value-based contracts. This includes identifying and managing the value levers that have the biggest impact on performance and revenue.

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Provider Collaboration Portal

The SpectraMedix Provider Collaboration Portal allows your providers to remove data overload, evaluate quality, cost, and utilization performance, optimize risk adjustment, and summarize costs incurred.

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How Can We Help?

Need more information? Ready to see a demo? Fill out the form below and let's get started!