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:
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.
Health Catalyst has thoughtfully developed a range of products, applications, and services that address a system's needs no matter its level of sophistication in analytics. Health Catalyst has a set of products that is optimized for the healthcare organization's environment and scalable to meet future analytics needs. Health Catalyst develops and deploys solutions targeted to a specific healthcare clinical and operational outcomes.
Enhance productivity across the claim continuum
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.
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.