Nearly every physician practice contracts with multiple payers.  An increasing number of these payers have adopted Pay-for-Performance (P4P or PFP) models that reward providers for providing high-quality and cost-effective Preventive Care and Chronic Disease Management for their patient populations.  But many practices do not have the resources or tools to allow them to really understand how good their care is – or the information needed to prove to payers that they are meeting Pay-for-Performance benchmarks.

WellCentive Clinical & Business Intelligence solutions automatically send both Primary Care and Specialty Care PFP data to multiple payers on a daily basis via outbound interfaces.  As a result, not only are outcomes improved and reported, but pay-for-performance reimbursement is increased.  Payers are responsive because they are receiving more complete and accurate data in a timely, predictable manner.   With fewer resources and less time required to assemble and submit this information, physician offices operate more efficiently and are able to focus on the important work of caring for their patients instead of entering data into multiple payer databases.

Contact us to learn more about how WellCentive solutions can improve pay-for-performance reimbursement.