Provider Solutions: Intervention for Managing in a P4P Environment
Pay 4 Performance Download PDF
MedVentive's industry-leading P4P solution calculates and tracks clinical measures, delivering patient specific intervention recommendations so that your physicians can proactively manage their P4P scores during the year, improve patient care, and achieve performance-based incentive payments.
P4P programs are here to stay, and the complexity of the programs increases every year. MedVentive works with some of the nation’s most sophisticated physician groups to deploy comprehensive, end-to-end solutions for their P4P management needs.
Key features:
- A web-based interface manages all the outreach communications with your physicians and patients, delivering patient specific recommendations in multiple languages
- Full adjudication functionality allows you to distribute payments in your P4P program, or audit payer reports
- Automatic detection of out of compliance patients, maximizing your incentive payments - flexible data ranges enable weekly or monthly "patient due list" reporting and outreach
- Advanced exception reporting eliminates ineligible patients from the denominator of P4P metric calculations, better reflecting true performance and maximizing revenue.
- P4P Dashboard reports deliver an automated overview of your P4P program right at your fingertips, and project future performance with on-the-fly "What if?" scenario analyses
- Our data refresh process updates your scores and measures with new data soon after it is available, integrating information from claims, encounter/billing data, lab, pharmacy or EMR systems
Using MedVentive's integrated P4P solution, clients have realized increased bonus payments that can pay for the entire system in the first year, delivering a rapid ROI and proven increases in quality levels.
