HSBlox, a leading technology platform for value-based care (VBC) contract management and administration that operationalizes complex contracts, enables transparency, and simplifies communication between stakeholders, and Deerhold, a company offering advanced healthcare data management and solutions to support healthcare price transparency and compliance, announced a partnership to combine their respective best-in-class capabilities to equip health plans, value-networks, self-funded employers, brokers and stop-loss insurance providers with faster, more accurate tools for network and payment model evaluation, development, and administration.
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By combining Medicare payment and enriched healthcare price transparency data, Deerhold introduces a standardized approach to run network analyses. This new approach factors in regional variations in Medicare rates and complexities, such as provider type, wage index, and pricing methodologies. It also cross-references multiple data sources to weight procedure codes according to occurrence. The actual contracted allowed amounts are also displayed as a percentage of Medicare to provide a real-world value for more accurate, straightforward comparisons.
The CureAlign platform from HSBlox enables value-based program design, contract modeling and operational administration with a network-of-networks model for onboarding the required hierarchical relationships associated with risk-bearing contracts and alternative payment models.
Along with its industry-leading VBC payment and performance reporting capabilities, HSBlox introduced the Carengage workflow solution just last year for improved care coordination and patient outreach within value-based programs and alternative payment models.
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As the healthcare industry continues to shift to VBC, customers can leverage the respective capabilities of Contract Rate Explorer and CureAlign to streamline referrals, ensure primary and specialty care alignment, implement alternative payment models and optimize networks for improved outcomes and cost containment. Coupled together, the solutions represent a powerful approach to cost-effective program design and execution.
“Working with Deerhold, our joint customers can expand, streamline, and implement unique benefit, network, and payment approaches to deliver affordable, quality-driven models at scale,” said Rahul Sharma, CEO of HSBlox.
“As price transparency data is beginning to inform the development of value-based care models, we couldn’t be more excited to partner with HSBlox, providing customers full visibility into contracted rates and the support to adequately administer these complex alternative payment engagements between payers and providers,” said Deerhold CEO Jeff Gasser.
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Source – PR Newswire
