When it comes to BPCI, we support healthcare providers across the full lifecycle of bundle and episode performance by assisting them in closely managing and tracking patients in near real-time. Compile network information from disparate sources. Rapidly link siloed data sets at the individual patient level to unmask addressable variations.
Aggregate and manage claims for as many patients with Innovaccer’s revolutionary data activation platform for payment distribution.
Merge claims and clinical information to understand the overall picture of the patient’s health and identify care gaps.
Process both retrospective and prospective payment models to effortlessly track discrepancies in care and payment processes.
Engage physicians at the point of care by letting them know of gaps in care and improve STAR Ratings.
And predict episode costs associated with different referrals early and optimize quality and costs at each facility based on concrete insights.
Identify scope of improvement and factors responsible for out-of-network referrals and address them to ensure a cohesive network.
Deliver relevant patient insights to physicians right at the point of care, all within their EHR to help reduce the clutter of data and eliminate burnout.
Address the unique needs of your members to optimize utilization and improve margins.
Manage your members inside and outside the care facility to reduce the possibility of unnecessary readmissions.
Support timely payment reconciliation and improved accuracy of claims across multiple reimbursements and risk arrangements.
Leverage cutting-edge analytics and custom-built risk assessment models to ensure higher accuracy in care, compare performance against peer groups, and increase margins.
Out-of-network patient activities
Report on financial and care outcomes for bundled services
Support timely filing and improved accuracy of claims
Appropriateness and standardization of care
margins in the value-based care model