Digital Mission

Value-Based Health

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Operationalizing Data and Information Contract and Network Management

Contract Management

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.

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