Value-Based Reimbursement Solutions
By leveraging strong contract governance and analytics, we help healthcare providers make a smooth transition from fee-for-service to value-based reimbursement.
Reduce the Overall Cost of Care
PMMC's value-based reimbursement solutions empower hospitals to reduce the cost of care across the patient continuum
decrease in inpatient rehab cases
decrease in inpatient readmissions
decrease in length of stay
Successfully Shift To Value-Based Reimbursement
Healthcare providers will be challenged in gaining a competitive advantage as the market shifts from fee-for-service to value-based reimbursement. PMMC enables healthcare providers to lead with a high value and high volume strategy by incorporating current contract governance and risk assessment.
Make The Transition from Fee-for-Service to Value-Based Reimbursement
Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards healthcare providers for both efficiency and effectiveness.
This form of reimbursement, driven by both the government and commercial payers, is the favored alternative and potential replacement for fee-for-service reimbursement, which pays providers retrospectively for services delivered based on bill charges or annual fee schedules.
To help healthcare providers make this transition, PMMC provides a strategic approach by leveraging our accurate contract governance and insightful analytics.
Population health is defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group."
With data and analytics, healthcare providers can understand how to better manage spend across different population and demographic groups.
Bundled Payments and Episodic Payment Models
As the shift toward value-based reimbursement continues to gain traction, now is the time for healthcare providers to prepare for bundled payments.
With a strategy backed by contract governance and analytics, healthcare providers can not only minimize financial risk in these programs, but can improve their bottom line while increasing the quality of care for their patients.
Real-Time Patient Navigation
With real-time patient navigation, hospitals can better manage and measure success in bundled payment programs. Episodic patient tracking measures and forecasts revenue within an episode of care, while highlighting areas where navigators should intervene to reduce spending.