As the industry continues to buzz about “value-based reimbursement”, health plans struggle with how to redefine the relationships with their providers moving from traditional Fee-for-Service (FFS) to the new Fee-for-Value models. Payment bundling can be an initial step to incorporating value-based reimbursement into provider network management strategies. Through payment bundling programs, health plans like yours have already started to transform the payer-provider relationship to build effective partnerships, promote quality and improve the cost of care.
Although payment bundling promises to revolutionize the way we deliver and pay for healthcare, it requires automation to make it effective, scalable and cost-efficient. TriZetto NetworX Payment Bundling Administration™ provides a comprehensive software solution with patent-pending functionality that automates the prospective bundling process. Here’s how it works. NetworX Payment Bundling Administration:
Part of the NetworX Suite® of products for managing provider networks, TriZetto’s NetworX Payment Bundling Administration solution is available on a licensed or hosted basis to healthcare payers.
With NetworX Payment Bundling Administration, payers can:
Our world-class services include application hosting and management, business process services, and consulting. TriZetto’s application hosting and management are delivered via cloud technologies to give clients flexible and scalable business services. Our global team of experienced professionals possesses deep knowledge of both the healthcare industry and TriZetto solutions, helping clients solve their unique business challenges and achieve results more quickly.
Discover the key steps to consider when making a decision to launch a payment bundling pilot program.
This solution enables payers to develop and administer a highly automated payment-bundling program that can help improve the cost and quality of care, while enhancing provider experience through efficiencies in reimbursement.
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TriZetto is a leading provider of healthcare technology for payers and providers. TriZetto facilitates integrated healthcare management with comprehensive solutions for core administration, health insurance claims processing, care management, IT hosting services, Medicare solutions and more. TriZetto’s innovative claims processing software streamlines claims administration to reduce costs and improve revenue cycle management.