Technology and Services
TO POWER BUNDLES PROGRAMS
Cedar Gate’s prospective bundles solution combines prepackaged episode of care definitions and proven services in a technology platform purpose-built for value-based care and payment. It empowers you to select and operate bundled payment arrangements that incentivize value and embrace the ever-growing shift away from traditional fee-for-service reimbursement toward innovative alternative payment models. No other software offers the same combination of advanced analytics, payment technology, and complementary care management applications to realize the value of bundled payment models.
Payers, providers, and employer partners collectively benefit by controlling costs and achieving predictable revenue, all with attractive treatment options that reward quality, efficiency, and improved care.
Support expenditure reduction strategies that produce predictable treatment costs to curb the year-over-year spending increases common in a typical fee-for-service payment model. Energize the transition from volume to value-based care by rewarding high-performing provider networks that consistently achieve predictable results.
Enhance patient loyalty, capture more market share, and increase opportunities for upside earning potential when you achieve performance targets for shared savings and incentive programs. Gain more visibility into your data to measure performance and improve quality.
Control rising benefits costs, improve care delivery, and reduce premiums by identifying and steering beneficiaries toward high-performing providers in bundled payment arrangements. Support direct relationships with centers of excellence that provide comprehensive care for costly procedures at fixed prices.
Cedar Gate offers multiple prepackaged bundle definitions that you can modify based on your unique needs, priorities, and market dynamics. Our value-based care analytics tools identify high-performing providers and facilities, calculate ideal target pricing, model performance, and recommend optimal program terms so you can confidently participate in bundled payment agreements. Our composable payment technology supports any bundles definition, with flexibility to manage your risk pool and align care team activities with your clinical and financial goals.Let's Get Started
Choose pre-defined bundles definitions from one or more specialty care categories, then get reliable data to develop a successful prospective bundles agreement. Then customize the services included in your bundles using practical insights and benchmarks or build your own custom bundles from scratch with help from our team.
Our turnkey implementation services make bundled payment program setup simple. Engage your entire team in implementation — within your organization or across multiple partner organizations — including finance, technology, and care delivery stakeholders. Our extensive library of resources, as well as managed and consulting services, help you prepare with confidence.
Most claims processing systems designed to adjudicate fee-for-service claims lack the functionality to administer complex bundled payment programs. Our tools are specifically designed for bundled payments and eliminate manual workflows and inefficient processes in claims adjudication. Easily track and attribute program revenue to protect against financial losses and carefully monitor downstream compensation using advanced analytics.
The link between program objectives and care delivery is more difficult with disparate data systems that don’t communicate well. Our comprehensive care management tools link clinical and financial goals by surfacing specific actions to support bundled care episodes. Ongoing monitoring tools help you adjust for market fluctuations and performance changes to ensure long-term profitability.
Take the guesswork out of determining which services to include or exclude from your bundles program. Save time with a library of more than 140 preconfigured bundles we created using our deep industry knowledge and expertise that offer a starting point for bundles program development.
An array of effective interventions to manage cardiovascular conditions, including coronary catheterization, coronary artery bypass grafting, valve replacement, percutaneous coronary intervention, and cardiac ablations.
Maternity and women's health bundles simplify pregnancy care, beginning with prenatal care and extending through delivery and postnatal care. Additional optional add-ons include bundles for common gynecologic surgeries.
Bundles that span oncological surgeries for four common cancers, including surgical breast resection, colorectal, and lung cancers. They include radiation therapy when indicated, and coverage for adverse return events.
Neurological conditions such as craniotomy and cerebral angiography often require extensive care. Our bundles package interventions with subsequent care for recovery, adverse events, and shortfalls in efficacy.
Bundles include surgical care and physical or occupational therapy to minimize pain or loss of function and restore health following procedures such as joint replacement, spinal fusion, and shoulder surgery.
The 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. Learn more today!