Value-Based Care Enablement Solutions
Services, resources, and tools for payers and providers who seek to improve patient care outcomes and efficiencies as they transition to value-based care and reimbursement.
This is a critical time for healthcare in the United States. Payers and providers alike recognize the shift to value-based care, but most are struggling to make the significant adjustments needed to achieve success.
At Change Healthcare, we strive to be a catalyst for the national shift to improve the quality of care and patient engagement.
By working directly with our payers and providers, we help organizations experience success from the initial pilot stages to full-scale implementation.
Leading payers are shifting to alternative care and payment models focused on value. Change Healthcare helps payers evaluate and design value-focused initiatives, providing you with the data, tools, and support you need to engage providers and administer successful programs.
We leverage advanced analytic tools to evaluate claims and member needs to identify the value-based models most likely to deliver high-quality, cost-efficient care within your specific provider base. Once implemented, we provide ongoing analytic and clinical expertise to help you evolve and expand the benefits of your value-based programs.
Through a combination of analytic tools and care coordination services, we help providers reach their patient populations to help improve outcomes, enhance the patient experience, and increase revenue — a critical step on the path to value-based care delivery.
Collecting and using actionable patient data to support value-based care programs is a challenging task. Our unparalleled tools and analytics capabilities support both payers and providers as they seek to improve patient care.
Our dedicated and experienced analytics team works with claims-based data to support practice transformation, strategy development, and patient care improvements. We create easy to understand data packages that both payers and providers can utilize in deciding courses of treatment.
Approximately 93% of Medicare spending is on beneficiaries with multiple chronic conditions. Time constraints make it difficult for providers to manage this population, especially between office visits.
Our care coordination services can help you improve patient engagement and quality of care, while receiving payment through the CMS chronic care management program. Our services help you meet CMS billing requirements for chronic care management, complex chronic care management, and the Merit-based Incentive Payment System (MIPS).
Our Accountable Care Services team guides you through initial applications and contract negotiations and provide daily operational management assistance. Services include care coordination and utilization management; claims, finances, and call center management; and provider aggregation, care-quality management, and reporting.
Our advanced data warehouse and decision support tools, including population health management, can help you ensure patients receive the care they need.