Bundled payments are quickly becoming the most sought after new plan design component for large employer groups and Medicare Advantage products, however most plans are struggling to deliver on value-based care through bundles. With Advalent’s payment solutions, plans can easily design a bundled program that works best to meet the needs of their customers, while also meeting their own business and quality objectives.
Easily design, administer and monitor complex payment programs
- Program Design and Contract Targeting – Analytics help plans identify the best providers and episodes to target with bundled contracts to drive both savings and quality improvements.
- Payment Adjudication – Automated, rules-based, real-time adjudication offers the flexibility to adjudicate bundled claims and bundle carve-outs prospectively, retrospectively or as a combination.
- Fraud Prevention – Advanced analytics monitor performance and payments in real time, detecting and preventing duplicate payments before they happen.
- Contract Management – Rules-based, smart contract templates allow plans to efficiently manage value-based payment programs of any type and enable the phasing in of value-based contract terms as their network becomes more adept at delivering value.
- Patient Engagement – Virtual and automated patient engagement paired with advanced care coordination tools and services helps patients make healthy and appropriate choices, speeding up recovery time and improving overall satisfaction.
- Provider Support – Provider decision support tools help guide patient steering and treatment appropriateness to maximize quality while keeping care affordable for patients.
- Performance Metrics – Ongoing feedback on provider quality and patient outcomes provide valuable insight into quality and cost, allowing plans to drive continuous improvements of their programs.