QPay clients cover:
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.
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
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
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?
Supports major value-based contract models across all lines of business including commercial, Medicare, Medicaid and QHP/ACA
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
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
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
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?