Best Value-Based Reimbursement Software

Dominick Duda
DD
Researched and written by Dominick Duda

The medical industry’s revenue and payment systems are moving toward value-based reimbursement, an alternative payment model that reflects the increasingly patient-focused, value-based delivery of care within health care systems. Value-based reimbursement solutions help reduce payer health care costs by optimizing the payer-provider relationship and payment structures. Value-based reimbursement solutions can exist as software, service, or a hybrid of both; the latter allows health care software vendors to equip health care organizations with the analytics and expertise necessary to revamp existing reimbursement models. By deploying value-based reimbursement strategies, hospitals and health care practices can better and more accurately compensate the services rendered to a patient.

To qualify for inclusion in the Value-Based Reimbursement category, a product must:

Identify high value care payment method bundles and insurance providers
Mine and analyze patient and population data
Model and analyze impact of value-based reimbursement models
Offer flexible or customizable contract templates

Best Value-Based Reimbursement Software At A Glance

Highest User Satisfaction:

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34 Listings in Value-Based Reimbursement Available
(210)4.6 out of 5
1st Easiest To Use in Value-Based Reimbursement software
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  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Therap Services, LLC provides secure, web-based documentation, communication and electronic billing services to 7000+ Home and Community Based Service providers across the United States as well as for

    Users
    • Director
    • Quality Assurance Coordinator
    Industries
    • Hospital & Health Care
    • Individual & Family Services
    Market Segment
    • 70% Mid-Market
    • 20% Small-Business
  • Pros and Cons
    Expand/Collapse Pros and Cons
  • Therap Services Pros and Cons
    How are these determined?Information
    Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
    Pros
    Ease of Use
    11
    Document Management
    9
    Customer Support
    5
    Features
    4
    Training Resources
    4
    Cons
    Limited Features
    3
    Limited Customization
    2
    Poor Navigation
    2
    Time Consumption
    2
    Calendar Integration Issues
    1
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    Therap
    Year Founded
    2003
    HQ Location
    Torrington, US
    Twitter
    @therapservices
    526 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    160 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Therap Services, LLC provides secure, web-based documentation, communication and electronic billing services to 7000+ Home and Community Based Service providers across the United States as well as for

Users
  • Director
  • Quality Assurance Coordinator
Industries
  • Hospital & Health Care
  • Individual & Family Services
Market Segment
  • 70% Mid-Market
  • 20% Small-Business
Therap Services Pros and Cons
How are these determined?Information
Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
Pros
Ease of Use
11
Document Management
9
Customer Support
5
Features
4
Training Resources
4
Cons
Limited Features
3
Limited Customization
2
Poor Navigation
2
Time Consumption
2
Calendar Integration Issues
1
Seller Details
Seller
Therap
Year Founded
2003
HQ Location
Torrington, US
Twitter
@therapservices
526 Twitter followers
LinkedIn® Page
www.linkedin.com
160 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Electronic documentation software for I/DD and behavioral health service providers. Our software offers case management, client tracking, and an Electronic Health Record (EHR) all under one roof. Visi

    Users
    No information available
    Industries
    • Mental Health Care
    • Non-Profit Organization Management
    Market Segment
    • 63% Mid-Market
    • 33% Small-Business
  • Pros and Cons
    Expand/Collapse Pros and Cons
  • Foothold Pros and Cons
    How are these determined?Information
    Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
    Pros
    Customer Support
    2
    Ease of Use
    2
    Features
    2
    Customizability
    1
    Customization
    1
    Cons
    Customization Limitations
    1
    Data Management
    1
    File Management Issues
    1
    Improvement Needed
    1
    Inefficiency
    1
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2000
    HQ Location
    New York
    Twitter
    @footholdtech
    533 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    65 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Electronic documentation software for I/DD and behavioral health service providers. Our software offers case management, client tracking, and an Electronic Health Record (EHR) all under one roof. Visi

Users
No information available
Industries
  • Mental Health Care
  • Non-Profit Organization Management
Market Segment
  • 63% Mid-Market
  • 33% Small-Business
Foothold Pros and Cons
How are these determined?Information
Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
Pros
Customer Support
2
Ease of Use
2
Features
2
Customizability
1
Customization
1
Cons
Customization Limitations
1
Data Management
1
File Management Issues
1
Improvement Needed
1
Inefficiency
1
Seller Details
Year Founded
2000
HQ Location
New York
Twitter
@footholdtech
533 Twitter followers
LinkedIn® Page
www.linkedin.com
65 employees on LinkedIn®

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  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    iClinic® is a fully certified EHR that is designed to improve your workflow, reduce time spent on data entry while preparing you to meet quality payment program requirements and additional incentives

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 44% Mid-Market
    • 44% Small-Business
  • Pros and Cons
    Expand/Collapse Pros and Cons
  • iClinic Pros and Cons
    How are these determined?Information
    Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
    Pros
    Ease of Use
    3
    Document Management
    2
    Setup Ease
    2
    Comprehensive Features
    1
    Convenience
    1
    Cons
    Poor Customer Support
    1
    Poor Responsiveness
    1
    Time Delays
    1
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    1999
    HQ Location
    New York, NY
    LinkedIn® Page
    www.linkedin.com
    75 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

iClinic® is a fully certified EHR that is designed to improve your workflow, reduce time spent on data entry while preparing you to meet quality payment program requirements and additional incentives

Users
No information available
Industries
No information available
Market Segment
  • 44% Mid-Market
  • 44% Small-Business
iClinic Pros and Cons
How are these determined?Information
Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
Pros
Ease of Use
3
Document Management
2
Setup Ease
2
Comprehensive Features
1
Convenience
1
Cons
Poor Customer Support
1
Poor Responsiveness
1
Time Delays
1
Seller Details
Year Founded
1999
HQ Location
New York, NY
LinkedIn® Page
www.linkedin.com
75 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    MemberPoint cleans and enhances your membership files with information from our vast public records repository which uses our proprietary LexID linking technology and HPCC computing platform.

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 43% Mid-Market
    • 29% Small-Business
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    1970
    HQ Location
    New York
    Twitter
    @NexisSolutions
    1,289 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    10,492 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

MemberPoint cleans and enhances your membership files with information from our vast public records repository which uses our proprietary LexID linking technology and HPCC computing platform.

Users
No information available
Industries
No information available
Market Segment
  • 43% Mid-Market
  • 29% Small-Business
Seller Details
Year Founded
1970
HQ Location
New York
Twitter
@NexisSolutions
1,289 Twitter followers
LinkedIn® Page
www.linkedin.com
10,492 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    The landscape of the Merit-based Incentive Payment System (MIPS) has changed. The penalties have increased and the Centers for Medicare & Medicaid Services (CMS) has made it harder to achieve a hi

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 50% Mid-Market
    • 50% Small-Business
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
Product Description
How are these determined?Information
This description is provided by the seller.

The landscape of the Merit-based Incentive Payment System (MIPS) has changed. The penalties have increased and the Centers for Medicare & Medicaid Services (CMS) has made it harder to achieve a hi

Users
No information available
Industries
No information available
Market Segment
  • 50% Mid-Market
  • 50% Small-Business
Seller Details
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    SoftCure has TPA treatment management & predefined treatment packages that speed up the operational work by eleminating the time consuming manual processes. The covers the most effective marketing

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 300% Mid-Market
    • 50% Small-Business
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2014
    HQ Location
    Noida, India
    Twitter
    @softjoin
    3 Twitter followers
Product Description
How are these determined?Information
This description is provided by the seller.

SoftCure has TPA treatment management & predefined treatment packages that speed up the operational work by eleminating the time consuming manual processes. The covers the most effective marketing

Users
No information available
Industries
No information available
Market Segment
  • 300% Mid-Market
  • 50% Small-Business
Seller Details
Year Founded
2014
HQ Location
Noida, India
Twitter
@softjoin
3 Twitter followers
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    CareAdvance Provider is part of the Cognizant line of TriZetto Healthcare Products portfolio of software products that help healthcare organizations enhance revenue growth, drive administrative effici

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 50% Enterprise
    • 50% Small-Business
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    Cognizant
    Year Founded
    1994
    HQ Location
    Teaneck, NJ
    Twitter
    @Cognizant
    722,990 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    326,152 employees on LinkedIn®
    Ownership
    NASDAQ:CTSH
Product Description
How are these determined?Information
This description is provided by the seller.

CareAdvance Provider is part of the Cognizant line of TriZetto Healthcare Products portfolio of software products that help healthcare organizations enhance revenue growth, drive administrative effici

Users
No information available
Industries
No information available
Market Segment
  • 50% Enterprise
  • 50% Small-Business
Seller Details
Seller
Cognizant
Year Founded
1994
HQ Location
Teaneck, NJ
Twitter
@Cognizant
722,990 Twitter followers
LinkedIn® Page
www.linkedin.com
326,152 employees on LinkedIn®
Ownership
NASDAQ:CTSH
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    HealthQx is an analytics platform and data services solution designed for health plans that want to foster deep clinical and cost analysis through episodic claim grouping and network analysis.

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 100% Small-Business
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2007
    HQ Location
    Nashville, US
    Twitter
    @Change_HC
    36,854 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    5,507 employees on LinkedIn®
    Ownership
    NASDAQ: CHNG
Product Description
How are these determined?Information
This description is provided by the seller.

HealthQx is an analytics platform and data services solution designed for health plans that want to foster deep clinical and cost analysis through episodic claim grouping and network analysis.

Users
No information available
Industries
No information available
Market Segment
  • 100% Small-Business
Seller Details
Year Founded
2007
HQ Location
Nashville, US
Twitter
@Change_HC
36,854 Twitter followers
LinkedIn® Page
www.linkedin.com
5,507 employees on LinkedIn®
Ownership
NASDAQ: CHNG
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Provation® Apex is an intelligent procedure documentation platform which is designed to help your team reach peak productivity.

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 100% Small-Business
  • Pros and Cons
    Expand/Collapse Pros and Cons
  • Provation Apex Pros and Cons
    How are these determined?Information
    Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
    Pros
    Templates
    1
    Cons
    Integration Issues
    1
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Twitter
    @ProVationMed
    957 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    184 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Provation® Apex is an intelligent procedure documentation platform which is designed to help your team reach peak productivity.

Users
No information available
Industries
No information available
Market Segment
  • 100% Small-Business
Provation Apex Pros and Cons
How are these determined?Information
Pros and Cons are compiled from review feedback and grouped into themes to provide an easy-to-understand summary of user reviews.
Pros
Templates
1
Cons
Integration Issues
1
Seller Details
Twitter
@ProVationMed
957 Twitter followers
LinkedIn® Page
www.linkedin.com
184 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Its so much more than a scrubbing tool for MDS assessments! With ABILITY CAREWATCH youll have the right tools to simplify quality management and strengthen your business across the enterprise.

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 100% Mid-Market
  • Seller Details
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  • Seller Details
    Seller
    Inovalon
    HQ Location
    Bowie, Maryland, United States
    Twitter
    @InovalonInc
    1,540 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    3,415 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Its so much more than a scrubbing tool for MDS assessments! With ABILITY CAREWATCH youll have the right tools to simplify quality management and strengthen your business across the enterprise.

Users
No information available
Industries
No information available
Market Segment
  • 100% Mid-Market
Seller Details
Seller
Inovalon
HQ Location
Bowie, Maryland, United States
Twitter
@InovalonInc
1,540 Twitter followers
LinkedIn® Page
www.linkedin.com
3,415 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need.

    We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Twitter
    @AccuRegSoftware
    407 Twitter followers
Product Description
How are these determined?Information
This description is provided by the seller.

AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need.

We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Seller Details
Twitter
@AccuRegSoftware
407 Twitter followers
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    ActiveASSIST provides all the tools a facility needs to identify, manage and track the entire financial assistance process including the workflow around managing the patient account. ActiveASSIST is f

    We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    HQ Location
    Elgin, IL
    Twitter
    @HealthWareSys
    83 Twitter followers
Product Description
How are these determined?Information
This description is provided by the seller.

ActiveASSIST provides all the tools a facility needs to identify, manage and track the entire financial assistance process including the workflow around managing the patient account. ActiveASSIST is f

We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Seller Details
HQ Location
Elgin, IL
Twitter
@HealthWareSys
83 Twitter followers
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    mySuite is a cloud-based solution designed to manage patient revenue cycle through payment processing and patient-centric communication.

    We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    1981
    LinkedIn® Page
    www.linkedin.com
    655 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

mySuite is a cloud-based solution designed to manage patient revenue cycle through payment processing and patient-centric communication.

We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Seller Details
Year Founded
1981
LinkedIn® Page
www.linkedin.com
655 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Aver is a platform that coordinates payers, providers, and patients into a single value-based payment solution.

    We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    Aver
    Year Founded
    2019
    LinkedIn® Page
    www.linkedin.com
    4 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Aver is a platform that coordinates payers, providers, and patients into a single value-based payment solution.

We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Seller Details
Seller
Aver
Year Founded
2019
LinkedIn® Page
www.linkedin.com
4 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2014
    LinkedIn® Page
    www.linkedin.com
    1,128 employees on LinkedIn®
We don't have enough data from reviews to share who uses this product. Write a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Seller Details
Year Founded
2014
LinkedIn® Page
www.linkedin.com
1,128 employees on LinkedIn®