Alternative payment models are the future. Our capitation adjudication software helps you manage the complexities in APMs with efficient, flexible, proven claims processing tools.
Discover what makes our Capitation Adjudication software the only tool you need to seamlessly administer capitation contracts, process payments, manage utilization, and boost financial performance in APMs.
Succeed in a future of advanced APMs with our complete suite of tools for managing delegated risk alongside fee-for-service payments, from contract configuration and eligibility management to adjudication and payment.
Simplify PMPM payments for optimal cash flow. Maintain updated eligibility and provider assignments automatically and create workflows to manage patient risk, quality, and cost.
Administer complex capitation contracts efficiently to optimize financial performance, reduce errors, increase operational efficiency, and enhance member experience.
Feel prepared to tackle risk-based payment models when you have tools to model risk in advance and track it throughout the duration of capitation contracts.
Take on capitated payments confidently with software to auto-adjudicate claims, reconcile payments, and maintain oversight through comprehensive reporting tools.
When a West Coast IPA wanted to expand their Medicare and Medicaid business lines, they turned to Cedar Gate. Our advanced claims processing, care management, and utilization management tools helped streamline operational efficiency by automating complex administrative processes and identify care opportunities.
What sets us apart? Every client receives access to data tools that integrate virtually any source into a single, unified data lake. We efficiently onboard the data, merge and aggregate it, then enrich the information into clean, standardized files so you get high-quality data warehoused securely in the cloud. With near real-time data capabilities, your data insights can become actionable steps in a matter of minutes. It’s the ultimate source of truth to power all activities in a value-based care world.
We believe in true partnership to be successful. That’s why we focus on a client-first approach including:
We built a payment technology solution to meet the specific needs of providers and payers engaged in alternative payment models, like partial and full capitation. This helps streamline the process of risk score capture, member attribution, funds flow projection, and payment reconciliation…
EXPLOREThe right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you.
