Best Bundled Pay Management Software

Zelis

Zelis is modernizing the business of healthcare by building something remarkable: a connected platform that bridges gaps in the financial system and aligns interests across healthcare insurers, providers, and consumers. Our platform is transforming the financial experience for more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of providers and members. We see across the financial experience to identify, optimize, and solve problems holistically with technology built by healthcare experts — driving real, measurable results for our clients.

Average Rating: 3.8/5.0

Total Reviews: 19

Signify Health

Facilitating the evolution from fee-for-service to value-based payment for healthcare. Organize networks, build software and deliver services that support the organization and financing of healthcare around a patient episode of care.

Average Rating: 3.3/5.0

Total Reviews: 2

BankingQ

Bridging the gap between healthcare and banking. Save time by speeding up the revenue cycle process with Medical Bank Posting and Reconciliation.

Average Rating: 5.0/5.0

Total Reviews: 1

HealthQx

HealthQx is an analytics platform and data services solution designed for health plans that want to foster deep clinical and cost analysis through episodic claim grouping and network analysis.

Average Rating: 5.0/5.0

Total Reviews: 1

Cedar Gate Payment

Deliver your undivided attention with confidence through our customized care plans, assessments, and surveys.

Average Rating: 3.0/5.0

Total Reviews: 1

Dynafios Bundled Payment Services

One of the most important goals at CMS is fostering an affordable, accessible healthcare system that puts patients first. A bundled payment methodology involves combining the payments for physician, hospital and other health care provider services into a single payment. The objective is to use this risk based payment structure to motivate health care providers to furnish services efficiently, to better coordinate care, and to improve the quality of care. Health care providers receiving a bundled payment may either realize a gain or loss, based on how successfully they manage resources and total costs throughout each episode of care.

Episode Manager

A value based payment solution for payers that want to integrate prospective payment models into their existing claims workflows.

Experian Healthcare Collections

Experian's Healthcare Collections solutions are designed to enhance the efficiency and effectiveness of patient collections for healthcare providers. By leveraging advanced data analytics and automation, these tools help manage rising out-of-pocket medical expenses, enabling patients to make informed financial decisions and allowing providers to implement effective collection strategies. Key Features and Functionality: - Collections Optimization Manager: Segments and prioritizes collection accounts to improve staff efficiency and enhance patient financial experiences. - Patient Financial Clearance: Assesses patients' likelihood to pay and connects those who may qualify for financial assistance with appropriate programs. - Patient Outreach Solutions: Utilizes automated dialing and texting to collect outstanding patient balances efficiently. - Coverage Discovery®: Identifies previously unrecognized insurance coverage to maximize reimbursement revenue. Primary Value and Problem Solved: Experian's Healthcare Collections solutions address the challenge of increasing patient financial responsibility by providing tools that automate routine tasks, reduce manual effort, and offer insights into collection trends and patient payment behaviors. This approach ensures compliance with healthcare regulations, secures patient data, and offers flexible, compassionate payment options, resulting in a better patient experience and increased satisfaction. By streamlining the collections process, healthcare providers can focus more on patient care while improving their financial performance.

ImaginePay

An easier way for patients to pay at home or time-of-service. Manage accounts receivable for multiple offices from one central platform.

MDsave Direct

Prometheus Bundled Pay

This is the only analytics platform designed to support bundled payment with an eye toward re-engineering care and rewarding providers for reducing potentially avoidable complications (PACs). It uses health care claims data to analyze episodes of medical care, create budgets, and easily track actual costs. It delivers a wing-to-wing process for implementing focused bundled payment programs, and provides the analytics infrastructure you need to revamp reimbursement and care system design.

Provider1

Provider1™ (formerly eProviderSync™) enables efficient and accurate provider data and contracts management across a Payer’s back and middle office functions. The Collaboration Portal manages the digital front door to Providers so they can self-serve critical functions, access real-time updates, and collaborate with their Payer counterparts to streamline processes between organizations.

Average Rating: 3.5/5.0

Total Reviews: 1

Sift Healthcare

Sift Healthcare uses the latest in big data technology to manage disparate data sources in order to capture all the benefits from both structured and unstructured data. This approach allows for the aggregation of data across practices to facilitate benchmarking and financial insights.

Vizient

Vizient (the new brand identity for VHA, University HealthSystem Consortium and Novation) is the nation's largest member-driven health care performance improvement company in the country, whose expertise spans across the continuum of care.

Average Rating: 4.0/5.0

Total Reviews: 16