Best Bundled Pay Management Software

Emma Stein
ES
Researched and written by Emma Stein

Bundled payments are an application of the value-based reimbursement model that aim to reduce health care provider costs and maintain quality of care for individual single care episodes. Bundled pay management software facilitates this type of reimbursement. Bundled pay management solutions leverage financial data analysis and population health analytics to inform hospitals’ value-based reimbursement strategies, reduce wasteful or unnecessary services, and ensure that patients are being treated optimally and in a cost-conscious manner. Clinical administrators and insurance providers utilize bundled pay management software to lessen the financial responsibility on payers. Bundled pay management solutions benefit from the accurate and efficient exchange of information across the org and patients.

To qualify for inclusion in the Bundled Pay Management category, a product must:

Analyze point of care episodes to evaluate provider costs
Facilitate health care information exchange
Provide built-in or integrate with claims management or other financial risk management functionalities
Integrate with established health care IT systems
Ensure alignment between hospitals and health care practices with provider networks
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