We provide analytics and services that give payers insights to help transform their value-based care programs. Our solutions help you find opportunities to bend the cost curve.
Analyzing vast amounts of claims data to accurately identify episode costs is often challenging. It requires claim coding knowledge and robust analytical tools capable of managing large claim data sets—and this process must be repeated monthly for the life of your value-based care program.
Change Healthcare simplifies the analysis of episode claims costs, providing fast, accurate, and secure claims analytics to help you easily identify and quantify VBC opportunities to target. In addition to learning about your savings opportunities, you will also get an actionable plan that identifies your next steps in managing your provider network.
Eliminate waste and reduce costs while improving the quality of care delivered.
Monitoring alternative payment models is time-consuming and complex. Our value-based care solutions help simplify the design and administration of bundled payments, ACOs, and other at-risk arrangements.
Better measure and operate against your VBC outcomes to drive improvements with our comprehensive, integrated solutions.
Leverage our solutions to establish episode targets, manage episode budgets, and calculate provider payments, reducing the administrative costs and inaccuracies typical in manual VBP tracking approaches.
Some programs have failed to produce meaningful savings or improved outcomes. Others were not a good economic match for providers, or never gained adequate support. Still others showed promise but fell victim to their inability to scale.
To drive meaningful change, VBC programs, payers, and providers need to leverage coordinated analytics that operate from a common definition of care. This ensures alignment, increases trust, improves provider engagement, and ultimately improves the quality of care.
Giving providers a more complete view of the care continuum will help them identify opportunities to improve care and lower costs.
in medical expenses saved in 2019 by Humana through its transition to VBC for its Medicare Advantage beneficiaries.1
of covered lives impacted by Change Healthcare’s support of payers’ and providers’ VBC initiatives.
saved by Blue Cross Blue Shield of North Carolina in its first year after transitioning to value-based care.1
1. https://www.fiercehealthcare.com/hospitals/industry-voices-pandemic-shows-why-value-based-models-are-future-u-s-healthcare (Dec 14, 2020)