Position organizations to effectively negotiate, implement, and manage value-based payment contracts with payers through all lines of business (Medicare Advantage, MSSP, Commercial, and Medicaid).
The SpectraMedix VBP Contract Modeler with financial reconciliation enables health systems, ACOs, IPAs, and IDNs to evaluate and negotiate a variety of value-based contract scenarios across different payer types. It then empowers these organizations to manage the value levers that have the biggest impact on performance and reconcile settlements.
It delivers these unique benefits though a data-driven contracting solution with integrated analytics that addresses the key cost, utilization, financial, and quality domains that impact contract terms and performance.
For health systems and and other large, risk-bearing provider organizations, the SpectraMedix VBP Contract Modeler provides a collaborative solution for achieving your primary objectives as you facilitate VBP contracts.
Operationalize contract terms across cost, utilization, financial, and quality disciplines and target core performance improvement initiatives with the highest impact.
Model prospective provider groups and evaluate their historical performance against your organizational benchmarks. Expand your network with the right providers.
Develop and implement contracts that position your organization and its providers for a return on investment, and manage key areas the impact your bottom line.
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.
Utilize a built-in library of clinical quality measures with national benchmarks (HEDIS, MIPS, eCQMs) that enable ACOs to select appropriate measures for their network.
Create high-performance networks, including determining a common measure set, quality benchmarks, cost benchmarks, and anchoring them to VBP contracts.
Utilize standard and customized analytics to operationalize performance improvement opportunities within contract parameters.
Identify, pull, and manage the key value levers that are impacting provider performance and contractual revenue.
The VBP Contract Modeler is highly configurable and enables the ACO to reconcile against the budget, and facilitate payments within the provider network.
Base your contracts on the terms that matter most, including alternative budget methodologies, stop-loss limits, shared savings-loss corridors, and quality scoring.
Download an overview of our value-based care solutions for providers to see how you health system and provider network can achieve better contracts and performance.
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