Why Payors Need a Custom Value-Based Care Solution

As healthcare moves towards outcome-driven reimbursement models, payors face new challenges:

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Complex Risk-Based Payment Models

Managing shared risk across multiple providers requires real-time data, accurate reimbursements, and seamless coordination between payors and care teams to ensure financial and clinical success.

Seamless API & Data Integration

Lack of Real-Time Data Integration

Disconnected EHRs, claims, and patient records make tracking outcomes difficult. A unified system helps payors analyze performance, automate reimbursements, and optimize provider networks efficiently.

Remote Patient Monitoring Check-Ins

Inefficient Provider Collaboration & Performance Monitoring

Without clear benchmarks and automated performance tracking, providers struggle to align with value-based models. A custom VBC platform enables real-time monitoring, feedback, and incentive management.

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Patient-Centered Care with Cost Efficiency

Balancing cost savings with improved patient outcomes requires AI-driven analytics, risk stratification, and population health insights to reduce preventable hospitalizations and unnecessary care costs.

How We Help Payors Build a Custom Value-Based Care Solution

We partner with you to design and develop a scalable, interoperable, regulatory-compliant VBC platform that improves provider collaboration, payment efficiency, and patient outcomes.

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1

Strategic Planning & Requirement Analysis

We assess your existing payment models, provider contracts, and claims processes to identify inefficiencies and define key performance indicators that align with your value-based care strategy.

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Custom Platform Development

We build tailored solutions supporting bundled payments, shared savings, and capitation models, integrating automated quality-based reimbursements and performance tracking into a unified system.

Interoperability & Data Governance
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Seamless Data Integration & Interoperability

Connecting EHRs, claims, and population health data enables real-time analytics, secure data exchange, and automated reporting for better decision-making and risk management.

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AI-Driven Analytics & Decision Support

Our AI-powered platform helps identify high-risk patients, predict cost trends, automate provider scorecards, and generate actionable insights to optimize care quality and financial outcomes.

Key Features of a Custom Value-Based Care Solution

Compliance Risk Reduction

Automated Risk-Based Payment Models

Supports shared savings, bundled payments, and capitation models with automated reimbursement calculations.

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Real-Time Provider Scorecards

Tracks provider performance, compliance metrics, and financial outcomes to align with VBC incentives.

AI & Automation for Healthcare

AI-Driven Patient Risk Stratification

Identifies high-risk patients and enables proactive care management to improve health outcomes.

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Seamless Claims & EHR Integration

Consolidates provider, claims, and patient data into a single, real-time, analytics-driven platform.

Secure and Compliant

Compliance & Regulatory Automation

Ensures continuous alignment with CMS, MACRA, MIPS, and state-specific healthcare policies.

Limited Predictive Analytics Capabilities

Predictive Analytics for Cost Optimization

Uses AI to analyze trends, reduce preventable hospitalizations, and improve financial efficiency.

End-to-End Healthcare Technology Services

We go beyond core healthcare solutions by offering a comprehensive suite of technology-driven services that enhance scalability, efficiency, security, and user experience.

  • Product Engineering
  • AI/ML Solutions
  • Cloud Solutions
  • Integration Solutions
  • Data Analytics & Reporting
  • Compliance & Security
  • Telehealth Solutions
  • mHealth Application
  • Clinical Decision Support System

From concept to deployment, we design and develop high-performance digital health products tailored to industry needs. Our approach focuses on scalability, security, and compliance, ensuring seamless functionality and a strong foundation for growth.

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We provide custom AI/ML development services to help healthcare organizations automate workflows, enhance clinical decision-making, and extract actionable insights from data. Our expertise includes predictive analytics, NLP for medical records, and AI-powered automation tailored to your needs.

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We help businesses migrate, build, and optimize healthcare applications on cloud platforms while ensuring compliance and security. Our cloud services include architecture design, DevOps automation, and scalable infrastructure management for seamless performance.

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We enable secure and efficient integrations across EHRs, medical devices, third-party APIs, and digital health platforms. Our team ensures data interoperability using FHIR, HL7, and custom API development, reducing silos and improving workflow efficiency.

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We offer data engineering, analytics, and reporting services to help healthcare organizations harness their data effectively. Our team develops real-time dashboards, predictive models, and automated reporting to support better decision-making.

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We help businesses meet HIPAA, GDPR, and other regulatory requirements by integrating security best practices into development. Our services include risk assessments, DevSecOps implementation, and data protection strategies for secure digital health solutions.

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We help organizations design, develop, and integrate telemedicine platforms with features like video consultations, remote patient monitoring, and secure data exchange. Our services ensure seamless connectivity while maintaining compliance with healthcare regulations.

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We provide end-to-end mHealth app development services, designing secure, user-friendly, and HIPAA-compliant mobile solutions for healthcare providers, patients, and caregivers. Our services include custom app design, wearable integrations, remote monitoring, and telehealth features to enhance patient engagement and care accessibility.

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We develop custom Clinical Decision Support Systems (CDSS) that provide real-time insights, AI-driven recommendations, and predictive analytics to improve patient outcomes. Our solutions integrate seamlessly with EHRs and existing healthcare systems, reducing cognitive load and enhancing clinical decision-making.

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Why We’re Your Greatest Fit

We don’t just deliver solutions we build partnerships that drive transformation. With a proven track record in healthcare technology, we understand the industry’s unique challenges and offer customized solutions to help you achieve breakthroughs.

Our Clients

Let’s Build the Future of Value-Based Care Together

The transition to value-based care doesn’t have to be overwhelming. With the right technology, you can enhance provider collaboration, optimize reimbursements, and improve patient outcomes—all while reducing costs.

Talk to Our Experts Today!

A Glance of Our Work

Compliance-Driven Services!

Our developers are HIPAA certified and skilled in various healthcare regulations, including GDPR and HITECH. We create HIPAA-ready solutions, ensuring security and compliance with all necessary standards. Trust us to deliver robust, compliant healthcare software that protects patient data.

Our Partner Ecosystem

Most Popular Solution Accelerators

Save minimum 40% in development costs and build products in 55% less time with our advanced solution accelerators.

EHRConnect provides a robust API/SDK for effortless integration with major EHR systems such as EPIC and Cerner, ensuring secure data exchange with advanced authentication and authorization protocols. Its support for diverse FHIR endpoints enhances data interoperability, facilitating efficient communication.

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WearConnect is a wearable technology platform facilitating seamless integration between wearable devices and various applications, enhancing user experience and data accessibility. It enables efficient communication and data exchange, empowering users to leverage the full potential of their wearable devices.

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PHISecure is a comprehensive solution dedicated to safeguarding Protected Health Information (PHI) within healthcare systems, ensuring compliance with privacy regulations like HIPAA. Its advanced encryption and access control features offer robust security measures to prevent unauthorized access to sensitive patient data.

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SecureSphere provides a holistic infrastructure management solution, facilitating swift deployment within hours. It prioritises compliance, scalability, and high performance. Additionally, it seamlessly integrates advanced monitoring tools, underscoring a commitment to security and reliability throughout the infrastructure.

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