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:
As a pharmacy care services company, OptumRx goes beyond traditional pharmacy benefit management. Connecting billions of data points, we empower doctors to make informed decisions. We tackle trends and pinpoint solutions for our clients. And we work every day to simplify the system.
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
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.
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.
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.
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 (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.