[BLOG] Integrating Financial Settlement and Reconciliation with Missed Clinical Opportunities: Delivering an ROI

HEALTH PLANS

Cloud-based software and services for health plans focused on improving the value equation in healthcare.

Making a Difference

At the Forefront of Value-Based Care Transformation.

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The challenge for health plans in value-driven healthcare is how to best manage today's everchanging reality while shaping tomorrow's possibility. It's not easy. 

We know how to help. Our team understands the nuances of the health plan market in the value-based payment landscape. We've created the SpectraMedix VBP Platform to advance your VBP agenda across the overlapping cost, quality, utilization, attribution, and risk management priorities in healthcare.

This integrated suite provides:

  • VBP contract creation and implementation that enables you to drive win/win relationships with your providers.
  • VBP analytics to uncover new trends and opportunities for quality and financial improvement.
  • Cohort management to align your network around specific member populations.
  • Easy-to-use portals and dashboards that arm your team and network with the actionable intelligence they need.
  • Support for all lines of business, including Medicare, Medicare Advantage, Medicaid, Commercial, and Privately Insured.

Payer Solutions

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VBP Contract Modeler

The SpectraMedix VBP Contract Modeler enables payers to create better value-based contracts. This includes the ability to identify and manage the value levers that have the biggest impact on performance and revenue.

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VBP Analytics Suite

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

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VBP Provider Portal

The SpectraMedix VPB Provider Portal allows payers to improve care by removing data overload, tracking performance, optimizing risk adjustment, summarizing costs incurred, and evaluating quality, cost, utilization.

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Where are you on your VBP Journey?

No matter where you are, SpectraMedix can help. To find out more and set up a time to see our application suite in action, please fill out the form below.

ONC CERTIFIED HIT® is a registered trademark of HHS.