Find new value in your value-based payment programs. Build trust with your provider partners. Make Qcentive your blueprint for better value-based care.
At Qcentive, we help healthcare payers radically improve the ease and effectiveness of running a value-based payment program. Our comprehensive suite of services and integrated healthcare payment platform support our bold vision for results-driven, value-based relationships.
Who We Serve
Commercial Health Plans
National, regional and local
Medicare Advantage Plans
Including special needs and dual eligible plans
Managed Medicaid Plans
Including managed long-term services and supports
- Healthcare payers are under enormous pressure to deliver value to customers by controlling costs and driving improvement in the quality of care.
- Many have adopted value-based payment programs, but success is often constrained by administrative complexity, fragmented solutions, poor quality data, and ineffective communication with provider partners.
Qcentivize Your Value-Based Payment Program
Payers have many options for value-based models and contract designs. Qcentive’s advisors and tools help you assess these choices and their potential impact.
- Analyze your market position, insurance products, provider networks, regulatory environment, and other relevant factors.
- Understand how your success depends on decisions about payment models, contract terms and benchmarks, quality measures, and provider protections.
- Test alternative scenarios using your historical data and various contractual and behavioral assumptions.
- Gather insights and support for provider negotiation through user-friendly reports.
Managing evolving contract terms and history can be challenging for payers, especially when working with a variety of provider partners. Through partnership with Qcentive, you can:
- Encapsulate contract features in standard templates.
- Capture negotiated contract information accurately and consistently, linking actual terms to modeling, performance reporting, and settlement.
- Facilitate communication among stakeholders—including your contracting, medical management, finance, analytics, and network resources—using Qcentive’s integrated platform.
Incomplete, inconsistent, or invalid data can undermine your value-based program. Qcentive’s platform offers reliable data, which is critical for measuring performance accurately and creating precise settlements with your provider partners. We perform a full evaluation of your data assets to ensure your information supports any program you build.
Understanding performance is essential for communication and program improvement. Qcentive’s wide range of analytics and reports support transparency by offering:
- Standard measures of cost and quality, along with contract- and provider-specific measures.
- Full and accurate reports and insights via dashboards and sophisticated portal and “drill-in” capabilities.
- Easy-to-use interfaces viewable on desktop and mobile platforms.
Our innovative, cloud-based platform integrates all functions required to operate a successful payment program. The result is a consistent and seamless approach to program design, management, and performance reporting. You can leverage these capabilities in a way that meets your needs and scales with your program.
Uncertainty in healthcare markets and public policy will require payers to be agile–adopting new payment methods to accommodate new healthcare benefits products and customers. Our experienced leaders offer sound advice to help payers anticipate changes, pivot their strategies, and execute accordingly.