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Best Bundled Pay Management Software

Bundled payments are an application of the value-based reimbursement model that aim to reduce health care provider costs and maintain quality of care for individual single care episodes. Bundled pay management software facilitates this type of reimbursement. Bundled pay management solutions leverage financial data analysis and population health analytics to inform hospitals’ value-based reimbursement strategies, reduce wasteful or unnecessary services, and ensure that patients are being treated optimally and in a cost-conscious manner. Clinical administrators and insurance providers utilize bundled pay management software to lessen the financial responsibility on payers. Bundled pay management solutions benefit from the accurate and efficient exchange of information across the org and patients.

To qualify for inclusion in the Bundled Pay Management category, a product must:

  • Analyze point of care episodes to evaluate provider costs
  • Facilitate health care information exchange
  • Provide built-in or integrate with claims management or other financial risk management functionalities
  • Integrate with established health care IT systems
  • Ensure alignment between hospitals and health care practices with provider networks

Compare Bundled Pay Management Software

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    The Archway bundled payment platform reflects both our experience and our perspectives. It is designed to make bundled payment programs simple to design, develop and manage.

    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 Connect is the only enterprise software that functions as a complete operating system for managing value-based payment programs. Delivered via web and mobile devices, it is the connective tissue between administrators, nurses, physicians, case managers, patients and families.

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

    Powered by a unique, metadata-driven ETL engine, the Health Catalyst Analytics Platform extracts data from a healthcare organization's many source systems and gathers them into Health Catalyst's Late-Binding Data Warehouse, where it binds the right data, at the right time, and at the right place.

    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.

    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.