Best Value-Based Reimbursement Software

    The medical industry’s revenue and payment systems are moving toward value-based reimbursement, an alternative payment model that reflects the increasingly patient-focused, value-based delivery of care within health care systems. Value-based reimbursement solutions help reduce payer health care costs by optimizing the payer-provider relationship and payment structures. Value-based reimbursement solutions can exist as software, service, or a hybrid of both; the latter allows health care software vendors to equip health care organizations with the analytics and expertise necessary to revamp existing reimbursement models. By deploying value-based reimbursement strategies, hospitals and health care practices can better and more accurately compensate the services rendered to a patient.

    To qualify for inclusion in the Value-Based Reimbursement category, a product must:

    Identify high value care payment method bundles and insurance providers
    Mine and analyze patient and population data
    Model and analyze impact of value-based reimbursement models
    Offer flexible or customizable contract templates

    Compare Value-Based Reimbursement Software

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    (5)4.4 out of 5

    Customizable web-based EMR with tab-based content organization and intuitive interface.

    (5)4.5 out of 5

    MemberPoint cleans and enhances your membership files with information from our vast public records repository which uses our proprietary LexID linking technology and HPCC computing platform.

    (2)5.0 out of 5

    SoftCure has TPA treatment management & predefined treatment packages that speed up the operational work by eleminating the time consuming manual processes. The covers the most effective marketing module that provide you the facility to send bulk SMS & Email with an attractive Website for your hospital.

    (1)5.0 out of 5

    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.

    CareAdvance Provider is part of the Cognizant line of TriZetto Healthcare Products portfolio of software products that help healthcare organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care and improve the member and patient experience.

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    3M Codefinder software is a package of coding and grouping tools which contains sophisticated, clinically-driven logic paths that can help coders find the required codes they need from the documentation they are given.

    0 ratings

    Its so much more than a scrubbing tool for MDS assessments! With ABILITY CAREWATCH youll have the right tools to simplify quality management and strengthen your business across the enterprise.

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    Many post-acute care organizations lack visibility into the underlying drivers of their Medicare operations performance. In this era of value-based payments, you need access to analytics and competitive market insights that you can put to use immediately.

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    AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need.

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    ActiveASSIST provides all the tools a facility needs to identify, manage and track the entire financial assistance process including the workflow around managing the patient account. ActiveASSIST is fully integrated with the Patient Account Rank Order (PARO) presumptive charity system to help identify financial counseling prospects. The PARO system determines the likelihood that a patient will qualify for financial assistance based on demographic data modeled from surrounding communities and his

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    mySuite is a cloud-based solution designed to manage patient revenue cycle through payment processing and patient-centric communication.

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    Aver is a platform that coordinates payers, providers, and patients into a single value-based payment solution.

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    Denefits patient financing provides healthcare practitioners the ability to refer patients to financing at the point of service. Patients in need of a financing alternative can apply for Denefits patient financing in less than a minute and receive an instant approval regardless of their credit score or credit history.

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    Unify your clinical and financial data to deliver better care at a lower cost.

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    Enli CareManager is a Best in KLAS population health management platform that enables provider organizations to pursue population health initiatives and close gaps in care.

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    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.

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

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    Empower your organization to adapt with a user-friendly solution, identifying and mitigating risk. While profitability improves, so will your patients experiences and outcomes.

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    Payer Compass, LLC operates as a healthcare technology company. The Company provides healthcare reimbursement technology and price transparency solutions utilizing both proprietary technology and customer service. Payer Compass, serves customers in the United States.

    (1)5.0 out of 5

    Healthmonix provides software solutions on quality measurement and improvement, data reporting, staff training and medical education.

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    Modular system that allows you to design the program's interface. Could be maintained in the cloud or installed on premises

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    Thrive holistically re-engineers the revenue cycle throughout the patient's journey, from patient access to accurate clinical documentation and coding to proper reimbursement.

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    Olio’s secure platform enables greater collaboration between acute and post-acute healthcare providers, so patients receive more coordinated care. The platform gives hospitals, physicians, and their teams clear and immediate insights into their patients’ conditions across the post-acute environment (skilled nursing facilities, home health agencies, and outpatient physical therapy) to improve clinical outcomes and lower costs.

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    OM1 is the Principal Investigator for the U.S. Agency for Healthcare Research and Quality (AHRQ) Outcome Measures Framework (OMF), a project aimed at harmonizing existing outcomes measures and producing new sets of outcomes measures across more expensive health care conditions.

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    Patient Pattern creates software solutions to improve patient care by helping healthcare professionals identify and communicate risk across care settings.

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    Physician Coder is a medical code search designed to simplify the medical code lookup process and assist with administrative operations.

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    Prodacapo Region is a new regional performance monitoring and governance solution to build a continuous improvement ecosystem, monitor progress and sustain alignment among the stakeholders involved in creating the new Value Network – A new way of working in regional health and social care.

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    Provation® Apex is an intelligent procedure documentation platform which is designed to help your team reach peak productivity.

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    Reducing the cost of dialysis is not as simple as choosing a service or a vendor. You need the right partner with proven legal solutions. Renalogic offers proprietary pricing methodology delivering up to 91% savings off total billed dialysis charges. Our programs are designed so that self-funded health plans can not only minimize dialysis costs, but actually avoid them through extensive member health coaching.

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    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.