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Adopt Value-Based Payment Reconciliation Systems Soon to Meet Expanding Healthcare Payer Needs

U.S. healthcare payers are expanding value-based provider payments, but the IT applications and manual processes used to handle those payments are inefficient and ineffective. Payer CIOs must be early adopters of automated value-based provider payment reconciliation systems.

Download this report to learn more about the following key findings:

  • Most payers use inefficient manual processes to calculate periodic provider bonus payments. Payers’ next-generation value-based contracts (VBC) with providers increase both the complexity of administration and financial risk associated with doing that poorly.
  • Lag time between provider action and incentive payment blunts the effectiveness of value-based payments in improving quality and care management outcomes. Payers have an opportunity to strengthen provider relationships and build trust by transparently sharing accurate incentive data with providers.
  • Complete value-based payment reconciliation systems are still emerging. Provider payment IT systems are available, but extended reconciliation functionality is largely still in development from payment, analytic and core administrative processing vendors.

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Adopt Value-Based Payment Reconciliation Systems Soon to Meet Expanding Healthcare Payer Needs, Bryan Cole, 19 September 2018

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