What You Should Know:
– HSBlox, a leading technology platform for value-based care (VBC) contract management and administration that operationalizes complex contracts, enables transparency, and simplifies communication between stakeholders, and Deerhold, a company offering advanced healthcare data management and solutions to support healthcare price transparency and compliance, today announced a partnership to combine their respective best-in-class capabilities to equip health plans, value-networks, self-funded employers, brokers and stop-loss insurance providers with faster, more accurate tools for network and payment model evaluation, development, and administration.
– By combining Medicare payment and enriched healthcare price transparency data, Deerhold introduces a standardized approach to run network analyses.
Optimizing Value-Based Care with Contract Rate Explorer and CureAlign
HSBlox’s Contract Rate Explorer integrates regional Medicare variations, provider types, wage indices, and pricing methodologies to refine value-based care (VBC) strategies. By cross-referencing multiple data sources, it weights procedure codes based on occurrence and presents actual contracted allowed amounts as a percentage of Medicare—offering precise, real-world comparisons for cost-effective decision-making.
The CureAlign platform streamlines VBC program design, contract modeling, and operational administration. Leveraging a network-of-networks model, it facilitates the onboarding of hierarchical relationships essential for risk-bearing contracts and alternative payment models. Complementing these capabilities, HSBlox’s Carengage workflow solution enhances care coordination and patient outreach within VBC frameworks.
Together, Contract Rate Explorer and CureAlign empower healthcare organizations to:
- Streamline referrals and ensure alignment between primary and specialty care
- Implement alternative payment models for optimized financial sustainability
- Enhance network performance for improved outcomes and cost containment
As the healthcare industry accelerates its shift toward VBC, these solutions provide a robust foundation for scalable, quality-driven models. “Working with Deerhold, our joint customers can expand, streamline, and implement unique benefit, network, and payment approaches to deliver affordable, quality-driven models at scale,” said Rahul Sharma, CEO of HSBlox.
