Transform healthcare delivery systems. Achieve unparalleled cost containment. Qcentive solutions help governments execute and optimize payment reform.
Government payers and purchasers are in a unique position to shape value-based relationships in health and human services. Qcentive has deep experience supporting public entities in design and execution of successful, large-scale payment reform initiatives.
Who We Serve
State/Local Medicaid and Human Services Agencies
State Health Insurance Marketplaces
Government Healthcare Buyers and Payers
- Skyrocketing healthcare costs continue to crowd out other public spending priorities, such as environment, transportation, public safety and education.
- Government healthcare buyers are grappling to redesign care delivery systems to be efficient and consumer-centric.
- Value-based buying is a pathway to success, but enterprise transformation is complex and requires significant infrastructure investment.
Qcentivize Your Payment Reform Program
Qcentive’s industry-leading tools, technology and expertise make it radically easier for government organizations to achieve innovation in healthcare.
- Medicaid payment reform, including Medicaid managed care, managed LTSS, financial alignment for Dual Eligibles and Delivery System Reform Incentive Payment (DSRIP).
- Compliance with CMS and CMMI payment and service delivery program requirements, demonstrations, and MACRA Quality Payment Program.
- Government employees and other public sector purchasers.
- MMIS, integrated eligibility, and state-operated HIX platforms.
- Risk adjustment, attribution and other complex data transformations.
Qcentive evaluates and improves your enterprise data assets for optimal performance. Root out incomplete, inconsistent, or invalid data, which can undermine your ability to manage your program, accurately measure performance, and create precise settlements with payers and providers.
Understanding performance is essential for communicating with your payer and provider partners and driving program success. Qcentive’s analytic solutions support transparency and full, accurate reporting.
- We offer a range of analytic methodologies and reports that incorporate both standard and programmatically unique cost and quality measures.
- Reports and insights are presented via dashboards and sophisticated portal and “drill-in” capabilities.
- Tools and reports are viewable on desktop and mobile platforms.
Our innovative methods and technology integrate all functions required to operate a successful payment program. Program design, management, and performance reporting are consistent, seamless, and scalable to your precise needs.
We understand the important nuances of applying value-based strategies to complex government populations—including elders, persons with disabilities, and consumers with behavioral health and long term care needs.
Healthcare policy and regulatory requirements are constantly evolving, but the need for intelligent cost containment and public accountability is constant. Qcentive solutions help governments achieve focused results with agility.