QPay now includes a powerful feature that solves a major pain point for providers and payers: watching and managing provider rosters.
FREMONT, CA: Apervita, a reliable healthcare technology provider delivering innovative technology solutions to payers, providers, and other stakeholders, declared an enhancement to QPay, its recently released contract performance management solution. This new ability captures and stores key terms in value-based contracts, which are applied to the calculations in QPay for performance guidance and insights for anticipating final settlement results.
These shared-risk payment models need the capability of maintaining and managing an increasing number of contract terms. Key terms that figure into the final reconciliation of value-based contracts can include cost targets, excluded services such as pharmacy claims or behavioral health services, and stop-loss methodology. The benefits of this new ability include the capability of organizing value-based contract terms and simplify information flows marooned in static documents and spreadsheets, and to actively manage the changing physician rosters.
QPay now includes a powerful feature that solves a major pain point for providers and payers: watching and managing provider rosters. Being capable of capturing the relationship between a physician or provider practice and a health system is vital to make sure the appropriate health system is held accountable for the patients and is properly reimbursed.
"Our value optimization solutions remove the black box effect from value-based contracts," said Kevin Hutchinson, Apervita CEO. "This new capability enables QPay to be further differentiated in the market. It removes difficult operational barriers that payers and providers wrestle with daily. Understanding the key terms, methods and contractual targets and knowing which providers are at risk with the provider roster creates a single solution, enabling all parties to focus less on administrative tasks and more on improving healthcare."