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Unlocking Value-Based Contract Success for Health Plans

Empower Providers. 
Maximize Performance. 
Increase Risk Sharing.

A New Breed of Value-Based Contract Analytics
for Health Plans

SpectraMedix delivers a purpose-built modular platform that drives financial and operational excellence across business lines, provider networks, and value-based contracts.

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Improve Performance

  • Understand complete picture of value-based contract performance 
  • Connect financial performance with quality, risk, utilization, and contract terms
  • Compare practice and provider performance to TIN/NPI level
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Enable Provider Success

  • Reduce friction and foster trust through transparency
  • Deliver actionable insights that empower providers
  • Personalize insights by contract, practice, and provider in provider-friendly view
  • Support JOC reporting
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Increase Risk-Sharing

  • Guide and partner with providers to improve confidence and probability of success
  • Facilitate provider transition to shared risk and capitation
  • Model contracts and simulate scenarios
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SOLUTION BRIEF
Value-Based Contract Solutions for Health Plans

The SpectraMedix platform drives operational excellence across business lines—with transparency into value-based contract financial performance, quality, risk, and utilization—to enable health plans to establish trust with providers, maximize revenue, and efficiently scale their VBP portfolio. 

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Drive Operational Excellence Across Business Lines

1-Jun-06-2024-06-45-17-2659-PM

Medicare Advantage

2-Jun-06-2024-06-45-17-0444-PM

Medicaid

3-Jun-06-2024-06-45-17-2961-PM

Commercial

Simplify Joint Operating Committee Reporting  

Automate and personalize financial reporting on quality, risk, and utilization—by contract with practice- and provider-level transparency—to help providers understand and improve their performance on value-based contracts.

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Simplify Joint Operating Committee Reporting  

Automate and personalize financial reporting on quality, risk, and utilization—by contract with practice- and provider-level transparency—to help providers understand and improve their performance on value-based contracts.

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The Platform (7)
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Provider Collaboration Portal

Contract objectives simplified, empowering providers to understand and improve performance 
 
 
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VBP Analytics Suite

Insight into quality, risk, utilization, and financial performance
 
 
 
 
Learn More >>
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Contract Settlement

Contract settlement with timely and accurate understanding of value-based contract performance of each TIN and provider
 
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VBP Contract Modeler

Design and simulate value-based contracts at scale
 
 
 
 
Learn More >>
The Platform (mobile header)
10-1

Provider Collaboration Portal

Contract objectives simplified, empowering providers to understand and improve performance 
 
Learn More >>
 
9-1

VBP Analytics Suite

Insight into quality, risk, utilization, and financial performance
 
Learn More >>
 
11-2

Contract Settlement

Contract settlement with timely and accurate understanding of value-based contract performance of each TIN and provider
 
Learn More >>
 
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VBP Contract Modeler

Design and simulate value-based contracts at scale
 
Learn More >>
 
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eBOOK
Six Strategies to Improve Provider Enablement for Value-Based Contract Success

 Help providers understand how they’re performing and what they need to do to meet their value-based goals so that they—and you—can be successful.

Download the eBook >>

Where Do You Fit In?

The SpectraMedix VBP platform empowers users across your health plan's value-based care enterprise with solutions to your specific, role-based challenges and pain points.

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Value-Based Contract Teams

Easily track and manage value-based contracts and provider performance

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Provider Network Teams

Provide detailed transparency into quality, risk, and financial performance

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Contract and Medical Economics Teams

Model and adjust value-based contracts to maximize revenue and promote cost-effective care

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Finance Teams

Track value-based program portfolio financial performance

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Analytics Teams

Deliver financial, quality, risk, and utilization insights to health plan and provider stakeholders

Ready to Delve Deeper?

SpectraMedix is here to help you crawl, walk, or run toward your value-based payment goals. Contact us today to find out how we can help you more effectively manage and expand your value-based portfolio across all lines of business.