VBP CONTRACT NAVIGATOR
Transform the Way You Develop, Implement, and Manage Value-Based Payment Contracts
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.
The SpectraMedix VBP Contract Navigator provides health plans and their providers 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, 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.
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.
The SpectraMedix VBP Contract Navigator makes contract modeling for payers and their provider networks:
Enables users to model a VBP contract in under an hour.
Provides the ability to create and implement a VBP contract with limited external support.
Delivers a proven methodology to model a VBP contract.
Avoids the variability of manual modeling efforts.
Provides for the storage of contract terms, both considered and implemented.
Serves as a vehicle to share methods and assumptions with provider groups.
Shares data with SpectraMedix analytics and cohort manager solutions.
Identifies viable provider candidates for expansion and growth efforts.
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.
VBP arrangements are continuously evolving—the VBP Contract Modeler is regularly updated and configured to serve existing and changing requirements.