Enhanced comprehensive administration solutions for managed care operations
The independent physician association (IPA) model in value-based healthcare has been alive and well in the US since the late ‘70s. Over time, several of these organization types have experienced significant shifts in their operations, methodologies, as well as approach in health plan contracting and reimbursement strategies in segments across the US.
Having the right platform from the ground up helps to safeguard the success of an independent physician association or IPA in today’s healthcare business environment.
Eligibility and revenue reconciliation
Referral and authorization processes
Capitation and profitability
Claim adjudication workflow
Integrated evidence-based care guidelines
Health plan reporting and audit
Flexible dashboards for executive and departmental actionable oversight
Embedded EDI functionality to facilitate data movement and sharing
Advanced platform to manage any risk or delegated model environment across any line of business
For more than 20 years, QuickCap (QC7) has been a leading solution to independent physician association firms providing the flexibility, infrastructure, and workflow ability needed to succeed in managed care along the IPA’s continuum.
From basic fee-for-service payment methods through more complex value-based full risk capitation structures such as CMS' Direct Contracting Entity (DCE) models, QC7’s configurable design is staged to meet independent physician association or IPA requirements at any point in its life cycle. Aligning the IPA’s goals and departmental needs is what QC7 does best—managing all lines of business (LOBs) across a myriad of health plans and populations served.
QC7’s seamless managed care platform assures a more streamlined approach, leveraging workflow and processes related to care coordination, population health management, claims administration, reimbursement, and analytics across all stakeholders.
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