Transforming the way health plans develop, implement, and manage value-based payment contracts.
The SpectraMedix VBP Contract Modeler with financial reconciliation enables health plans to create better value-based contracts by automating the modeling and development of multiple contract types — including pay for quality (PFQ), shared savings, shared risk, capitation, MLR arrangements, and total cost of care — across diverse contract portfolios.
It helps payers to actively identify and manage the value levers that have the biggest impact on network performance and contractual revenue, and empower their provider networks with these insights to improve outcomes and reduce costs.
The SpectraMedix VBP Contract Modeler provides health plans and their provider networks with a collaborative solution to model, implement, analyze, and advance mutually beneficial contracts.
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.
Identify, evaluate, 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.
Project and maximize return on investment for value-based contracts with our ROI modeling capability that identifies the key areas that impact your bottom line and assists you in addressing them.
For defining contract terms including line of business, product line, and geography.
Build custom attribution models that combine both plurality-based algorithms and voluntary alignment.
Create high-performance networks, including determining a common measure set, quality benchmarks, cost benchmarks, and anchoring them to VBP contracts.
Base your contracts on the terms that matter most, including alternative budget methodologies, stop-loss limits, shared savings-loss corridors, and quality scoring.
Test alternative contract terms to come up with an agreement to offer to a specific group or to use as a standard contract.
VBC arrangements are continuously evolving — the VBC Contract Modeler is regularly updated and configured to serve existing and changing requirements.
Integration of behavioral health and SDoH measures within populations.
Download an overview of our value-based care solutions for payers to see how your health plan and provider network can achieve better contracts and performance.
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