Provider Solutions: Intervention for Managing in a P4P Environment
Managed Care Performance Download PDF
MedVentive supports physician groups in a wide range of contract models - capitation; capitation blended with P4P; and Medicare Advantage plans - supporting physician groups in demonstrating interdependence and cooperation as clinically or financially integrated networks.
Our advanced, severity adjusted reporting tools and intervention workflows enable physician groups to succeed in any risk environment, and proactively manage the key financial indicators of their success.
Key features:
- Track performance of individual physicians against financial budgets and clinical goals
- If you do not have claims data, MedVentive's open data model supports encounter/billing data, pre-adjudicated claims, and proxy fee schedules
- Model contract options and adjudicate payments at year-end
- Distribute reports and analyses electronically to every member of your physician network, organized by specialty, region, disease or procedure type
- Promulgate consistent clinical protocols across your network and achieve full clinical integration
MedVentive links cutting-edge information technology with proven, real-world network management experience. Learn how it can help your organization manage risk.
