Press Release
Oracle and Benefit Management LLC Enable Healthcare Payors
and Providers to Shift from Retrospective Payments to Prospective Bundled
Payments
Redwood Shores, Calif.—May
13, 2016
Oracle
today announced that Benefit Management LLC, a progressive health Third Party
Administrator (TPA) and joint venture of NueHealth, has selected Oracle
Health Insurance Value Based Payment Cloud Service to deliver a cloud-based
prospective bundled payments system for healthcare payors and providers.
While the goal of
healthcare reform has been to decrease costs and improve patient outcomes, it
has healthcare payors and providers grappling with how to master the
complexity of bundled payment models—specifically the shift from
retrospective payments (paying for healthcare services after they are
completed) to prospective payments (at the time the service is requested and
agreement on a flat fee).
Benefit Management LLC will
harness the power of Oracle Health Insurance Value Based Payments Cloud Service
to help payors seamlessly maneuver and scale complex bundled payments, and
help ensure timely and accurate payment to providers as they move to a
prospective bundled payments model.
“The transition to
value-based payments is one of the biggest challenges facing payors and
providers today,” said Chad Somers, CEO of Benefit Management. “It is
imperative that all aspects of value-based payments be considered before
making this change. Never before has combining the clinical outcomes with
payment been so important. Oracle Health Insurance Value Based Payment Cloud
Service will allow us to revolutionize bundled payments by processing payment
at the time service is rendered instead of months later.”
The combination of Benefit
Management’s services, backed by 20 years of success with a diverse client
base of self-funded employers, and Oracle’s offering will allow Benefit
Management customers to:
“The Oracle insurance cloud
solution can also be leveraged by Benefit Management’s self-funded
employers,” Somers said. “Value-based programs, especially when you’re
talking about bundles, are of tremendous benefit to self-funded employers,
and the capability to manage and adjudicate claims based on those kinds of
value-based contracts will be something employers can take advantage of to great
effect.”
“Oracle Health Insurance
Value Based Payment Cloud Service provides the technology platform to
administer many different non fee-for-service arrangements in a single
solution,” said Srini Venkatasanthanam, Vice President for Oracle Insurance.
“Oracle’s health insurance solution enables organizations such as Benefit
Management to reduce time-to-market and significantly lower overall cost of
ownership. We look forward to enabling Benefit Management to deliver an
innovative prospective bundling offering to the market.”
To learn more about
Oracle’s Value Based Payment Component and the opportunities it will provide
to provider, payors and employers, visit Benefit Management online at www.BenefitManagementLLC.com
Contact Info
Valerie Beaudett
Oracle +1.650.400.7833 valerie.beaudett@oracle.com
About Oracle
Oracle offers a
comprehensive and fully integrated stack of cloud applications and platform
services. For more information about Oracle (NYSE:ORCL), visit www.oracle.com.
About Benefit Management LLC
Benefit Management provides
customized, high-quality health benefits administration programs to partially
self-insured companies and association plans nationwide, and also delivers
value-based administration solutions to providers and payors. The company,
founded in 1995, has long been regarded as one of the Midwest’s leading third
party administrators, with a reputation for flexibility, innovative services
and outstanding customer service. Benefit Management is headquartered in
Great Bend, Kan., with offices in Wichita, Kansas City and St. Louis, and
administers insured lives in all 50 states.
About NueHealth
NueHealth is building a
nationwide system of clinically integrated provider networks that puts
healthcare into the hands of consumers. With a vast network of purpose-driven
surgical centers and hospitals, NueHealth connects providers directly to
consumers and aids them in delivering value-based payment options and
improved outcomes. To deliver this improved value, NueHealth leverages
proprietary technologies, online platforms, bundled payments and targeted
programs and services. NueHealth gives providers and payors the tools and
resources to stay ahead of healthcare’s continued evolution, while giving
employers, insurance companies and patients access to a simplified model and
affordable, high-quality, streamlined care.
Trademarks
Oracle and Java are
registered trademarks of Oracle and/or its affiliates. Other names may be
trademarks of their respective owners.
Safe Harbor
The following is intended
to outline our general product direction. It is intended for information
purposes only, and may not be incorporated into any contract. It is not a
commitment to deliver any material, code, or functionality, and should not be
relied upon in making purchasing decisions. The development, release, and
timing of any features or functionality described for Oracle's products
remains at the sole discretion of Oracle Corporation.
Talk to a Press Contact
Valerie Beaudett
|
miércoles, 18 de mayo de 2016
Oracle and Benefit Management LLC to Help Ease the Complexity of Bundled Payments Amidst Healthcare Reform
Suscribirse a:
Enviar comentarios (Atom)
No hay comentarios:
Publicar un comentario
Te agradezco tus comentarios. Te esperamos de vuelta.