IntelliPayer Provider helps healthcare payers to manage provider lifecycle processes including provider operations, network adequacy optimization and provider performance management to improve patient experience and maintain business profitability. Our end-to-end provider management solution allows payers to improve quality and drive revenue through value-based service delivery.
Managing the provider network in this competitive healthcare industry is a huge task for payers. Healthcare payers need superior provider network management for managing network with greater efficiency and attainment of optimum financial results to increase provider satisfaction and reduce errors.
Measure risk adjusted provider efficiency
Estimate and monitor key metrics such as network leakage and quality measures
Provider performance and efficiency
Evaluate members by type to make informed decisions
Allow pro-active estimation and management of key processes involving providers through streamlined dashboards and analytics
Redesign the care and payment models to detect new risk and opportunity
Assist in managing relationships with providers, which leads to increased provider satisfaction and retention
Enable improved MLR through better cost management
Create an efficient, scalable and flexible IT foundation to segment providers based on specialty, utilization, cost, and geography criteria
Integrate unstructured and structured data from multiple sources to measure performance
Using our provider analytics solution gives you an insight into the cost and performance of your providers so you can address value
and usage, and provider practice patterns.
Identify provider partners for risk-based arrangements
Structure bundled payments for care improvements
Improve provider transparency and optimize engagement
Proactively manage providers to pinpoint cost drivers, and monitor risk scores
From member growth and retention to medical cost management, IntelliPayer is opening up other avenues and opportunities in healthcare, which includes combating fraud, driving product design, and strengthening quality of service delivery etc.Schedule A Demo