Managed Care
- Reveal trends that can be used to negotiate and manage payer behavior more effectively
- Trended analysis into collection of contracted revenue
- Compare financial performance of comparable payer plans against each other
- Validate accuracy of your contract management application without running any reports
As a Managed Care leader, you negotiate contracts with specific revenue expectations in mind. You expect payers to live up to their end of the contract to pay for services provided. You want to pinpoint the service lines where your organization is not achieving its contracted revenue. You also want to ensure that your contract management application is valuing accounts properly so that your contract revenue is stated accurately.
Alphalytics will spotlight the areas where you are not achieving your contracted revenue, and trend the delta between expected and actual reimbursement. Take like-payers and compare/contrast how they pay, when they pay, and their initial pay/denial metrics to get you that payer performance scorecard you have been seeking.