Individual provider performance can have a significant impact not only on your patient care, but also on your bottom line. That’s why setting up and managing efficient provider networks, provider contracts and value-based payment systems are key to the health of your members and the financial health of your organization. Advalent’s integrated Provider Management Solutions allow healthcare organizations to proficiently measure provider performance and make adjustments to their value-based networks accordingly to drive provider engagement, reach clinical goals and optimize revenue.
Advalent’s Network360TM solution offers tools and comparative analytics that gives you the ability to track performance metrics across all contracts, perform peer group comparisons and create action plans to improve performance and close gaps in care. It also provides provider contract modeling and adjudication functionality.
Additionally, Advalent can help health plans and Independent Physician Associations (IPAs) successfully set up and manage complex value-based payment arrangements, including bundled and capitated payments methodologies. With our Provider Management Solutions, provider groups can easily submit multi-line/multi-provider claims by patient episode, saving time, decreasing administration costs and enabling quicker payments.