Digital Mission

Value-Based Health

DOWNLOAD INFO SHEET
Operationalizing Data and Information Contract and Network Management

Concurrent Value-Based Reimbursement

Current Situation

There are independent, uncoordinated payment reimbursement engines executing multiple methodologies in siloed systems.

Goals and Objectives

Create auditable, traceable financial transactions that are reconcilable between fee-for-service (FFS) and fee-for-value (FFV) transactions.

Technology Deployed

Prospective reimbursement engines; Retrospective reimbursement engines; Reconciliation workflow; Financial subledgers; Groupers; Contract management software; Rating software

Use Case Summary

Flexible, modular payment engines can administer creative FFS and FFV payment methodologies from contract through claim and payment.

DOWNLOAD INFO SHEET