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Revenue Cycle Management > Reimbursement Integrity > Bundled-Payments
Bundled Payments

Prepare for the shift from fee-for-service to fee-for-value and changes in the reimbursement payment system. 

 Download Whitepaper 

MedAssets Bundled Payment Solution helps healthcare payors and providers prepare for healthcare reform. The combination of a proven technology suite and expert services delivers a comprehensive view of patient healthcare delivery and expected reimbursement under a bundled payment system. Through readiness assessment, clinical analysis and consultative evaluation, organizations can increase visibility across a patient’s full episode of care, as well as gain cost outlier insight to mitigate risk.

 

 Key Features

  • Supplements current claim system and processes through easy-to-install Web-based solution
  • Associates all claims for a particular episode or condition into a single bundle
  • Adjusts risk and severity around an individual patient based on multiple co-morbid factors
  • Separates the “typical,” costs of care from “potentially avoidable” complications 

Through our Bundled Payment Solution, healthcare payors and providers can:

  • Define payor and provider reimbursement allocation
  • Minimize risk through patient-level severity adjustments
  • Improve per-patient margins with reduced Potentially Avoidable Costs (PACs)
  • Increase visibility across a full episode of patient care
  • Manage multiple bundled payment methodologies
  • Utilize the PROMETHEUS Payment® model based on severity-adjusted Evidence-informed Case Rates (ECR®) to access bundled payment strategies 
  • Enhance the development of ACO best practices