The medical industry’s revenue and payment systems are moving toward value-based reimbursement, an alternative payment model that reflects the increasingly patient-focused, value-based delivery of care within health care systems. Value-based reimbursement solutions help reduce payer health care costs by optimizing the payer-provider relationship and payment structures. Value-based reimbursement solutions can exist as software, service, or a hybrid of both; the latter allows health care software vendors to equip health care organizations with the analytics and expertise necessary to revamp existing reimbursement models. By deploying value-based reimbursement strategies, hospitals and health care practices can better and more accurately compensate the services rendered to a patient.
To qualify for inclusion in the Value-Based Reimbursement category, a product must:
Episode Connect is the only enterprise software that functions as a complete operating system for managing value-based payment programs. Delivered via web and mobile devices, it is the connective tissue between administrators, nurses, physicians, case managers, patients and families.
CareAdvance Provider is part of the Cognizant line of TriZetto Healthcare Products portfolio of software products that help healthcare organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care and improve the member and patient experience.