Current Situation
Text-based documents with unstructured terms and conditions are prevalent.
Goals and Objectives
Respond to creation of contracts, networks, and affiliations fast. Respond to value-based reimbursement concepts such as bundles and pay for performance.
Technology Deployed
Network penetration software; Provider risk analysis analytics; Geo-access mapping; Provider network adequacy analytics; Census/geotract data
Use Case Summary
An agile contract management system provides real competitive advantage for payers by enabling bundles and other FFV reimbursement methodologies, network flexibility, and creative contracting.