Cedar Gate's Bundles Adjudication software is designed to facilitate the management of prospective bundled payments for episode-based care. It helps healthcare providers transition from fee-for-service models to value-based care arrangements, ensuring cost efficiency and high-quality patient care.

Key Features

• Bundle Configuration and Pricing: Define, configure, and price prospective bundles to address regional needs and opportunities.
  • Integration with Existing Systems: Seamlessly integrates with existing Revenue Cycle Management (RCM) tools and core administration systems.
  • Automated Bundle Management: Automatically bundles fee-for-service claims, applies bundle logic, processes payments, and unbundles payments for accurate distribution to care partners.
• Performance Optimization: Automate monitoring and adjust bundles to optimize financial and clinical performance.
  • Multi-Payment Model Support: Administers bundles alongside fee-for-service, capitation, and quality-based payment models.
  • Partner Management: Actively manages bundle partners to identify high performers, distribute funds, and monitor risk pool funds.
• Data Integration and Analytics: Integrates virtually any data source into a unified data lake, cleansing, normalizing, and enriching the data for secure cloud storage and access.
  • Centralized Control Panel: Visualizes every detail of prospective bundles programs in a customizable control panel for team collaboration.

Benefits

• Risk Management: Confidently take on risk in Alternative Payment Models (APMs) while maintaining high-quality patient care and low costs.
  • Improved Performance: Minimizes risk, improves performance, and lowers costs in Value-Based Care (VBC) agreements.
  • Enhanced Collaboration: Facilitates collaboration among team members through a centralized control panel.
• Data-Driven Decision Making: Provides high-quality data to power all activities in a value-based care environment.
  • Customizable Solutions: Offers modular technology that integrates easily with existing systems, complementing IT investments.