From the 2019 Bundled Payments Market Trends Report, Bundled Payments: Current Strategies and Tools.
Vendor Type: Niche episodic payment
Data sources: EHRs, claims, social determinants, patient-reported outcomes
Target market(s): Hospitals and health systems, employers, and payers
Example Customer: Orthopedic Centers of Colorado
Market approach: A
Clarify Health provides analytics and workflow that helps ensure successful workflow optimization, including for bundled payment program. It concentrates attention on factors that result in negative payment adjustments for the providers.
IT solutions: A
Clarify Health’s Care Command offers analytics and workflow to support the administration and execution of bundled payment program. It provides a range of dashboards with drilldowns into actual and planned costs, payment reconciliation amounts, post-acute utilization by facility and physician. Care teams can examine filterable financial outcomes grouped by multiple factors including social determinants.
Workflow support starts with a workflow design configurator that supports multiple organizations and post-acute dispositions. The care management application supports a bundle-specific care plan. It allows care manager to see such data as engagement level, likelihood of complications, likely and actual costs, likely post-acute disposition on a per patient or per filterable cohort basis. For patients, the portal app serves up reminders, information about the care team, educations about the procedure and process, messages, the ability to enter PRO.
Advisory services: Clarify Health supports its customers with both IT and clinical transformation services geared to the particular use of its technology.
Outlook: Clarify Health had been highly focused on bundled payment programs since its founding in 2015. It recently announced an intention to expand the scope of its activities to support life sciences companies.