QPay clients cover:

$ billion in medical expenses
million lives

QPay: Reinvent performance engagement for payers & providers with a value-based contract cloud platform

QPay is a powerful contract performance management tool that empowers payers to administer and run performance analytics on value-based contracts

QPay offers a flexible, secure cloud platform for optimizing the success of payer contracts based on performance metrics.

Engage provider networks with trust and transparency

Foster & strengthen payer-provider collaboration

  • Enable transparency by empowering provider networks to track progress against negotiated contract terms and course-correct as needed
  • Arm payers & providers with access to the same, relevant information, such as cost of care and utilization versus benchmarks
Automate burdensome processes to do more than check a box and/or decrease administrative costs with automated workflows

Decrease administrative & IT costs

  • Replace today’s onerous manual processes and transform data into performance insights through storyboarding and visualization
  • Improve settlement accuracy and compliance with regularly refreshed performance data
Customize the solution to meet your needs

Create a single source for key contract terms

  • Create, store and share contract terms and algorithms for all parties involved, prior to final reconciliation
  • View & manage provider rosters to ensure appropriate organizations are held accountable and are properly reimbursed

The dynamic performance analytics in QPay enable payers & providers to easily access and configure dashboards with relevant metrics and information, such as cost & utilization performance and benchmarks.

Ready to see our complete solution in action?

QPay™

Supports major value-based contract models across all lines of business including commercial, Medicare, Medicaid and QHP/ACA

QPay Wheel: Design - Terms - Performance - Opportunity - Engagement - Settlement

Design and model value-based contracts

  • Understand how new value-based contract models will affect provider revenue
  • Identify providers that present the greatest opportunity for success
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Create, store and share contract terms and algorithms

  • Support effective collaboration among internal stakeholders throughout the contract negotiation process
  • Ensure consistency across contracts, terms and negotiation approaches

Interactive performance reporting and analytics tied to negotiated value-based contracts

  • Continuously track emerging and retrospective performance
  • Support providers in understanding performance and opportunities for improvement
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Actionable insights to diagnose and act on high-value savings opportunities 

  • Customize analyses based on provider needs, status and business realities
  • Access high-level dashboards and drill down by opportunity categories
  • Evaluate contracted entities and potential savings to benchmarks

Engage clinicians by helping connect financial outcomes to clinical action

  • Foster provider and member engagement with member enrollment and clinical reports
  • Access bulk patient lists of priority patients
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Settle contracts collaboratively between payers and providers

  • Calculate and process accurate final settlement
  • Integrate clinical and financial performance per contract terms for holistic contract settlement inputs

Ready to get the most from your value-based relationships?