Payformance Solutions - An Altarum Company

A world of better Value-Based Reimbursement.

About Us
About Us

A world of better Value-Based Reimbursement.

Payformance Solutions is a value-based reimbursement software provider dedicated to advancing payment transformation in the healthcare industry. Leveraging our affiliation with nonprofit research and consulting organization Altarum Institute, we launched the TrustHub Health platform to equip payers and providers with the technical tools and resources required to design, evaluate, build, measure and negotiate value-based reimbursement contracts while aligning financial goals with improved patient outcomes.

TrustHub

Introducing TrustHub.

TrustHub—our revolutionary value-based reimbursement platform—runs through an agnostic approach to make health care costs more consistent and intuitive for all parties.

In the middle of it all.

TrustHub assists plans and providers with the design, measurement and collaboration of value-based reimbursement programs as a neutral third party. It creates the handshake between Payers and Providers to help build efficiency, predictability and consistency.

Smart Contracting

Enables value based contract management, review and adjustment of streamlined, performance monitoring and payment. Enables speed to market and scalable support.

Network Management/​Provider Relations

Provider module is extendible to house various types of affiliations which can augment the health plan’s provider system of record.

VBR Payment

Rating module enables health plans to define the various rating parameters and integrates the payment execution via its payment processor.

FFS to VBR Convertor

Allow your providers to submit claims per the usual process. This module supports the Plan’s legacy systems for FFS and creates to “ghost” claims for clean financing.

Enablement

Robust services to assist providers with their enrollment and management of their VBR Contracts. Ongoing support for technical assistance and practice enrollment/monitoring.

Performance Analytics

Reports and Dashboards that provide you the YTD status on your practice performance and cash flow modeling and projections.

Contracting

Tools for modeling and network design to facilitate contact optimization. Allows for tunable parameters including gain/loss share, stop loss, quality scorecard impact, and more.

Network Analytics

Analyze network referral patterns and performance for gain share disbursement and transparency, scorecard metrics and drill downs.

VBR Services.

TrustHub is an industry-leading solution providing tools for program design, modeling and management with:

  • Data harmonization
  • Episode definition
  • Risk adjustment
  • Predictive modeling
  • Network optimization
  • FFS converter
  • Performance dashboards
  • Smart contracting
  • Real-time processing
  • 24/7 monitoring
Who We Serve

Let’s Work Together.

Payers

  • Leverage a turnkey set of solutions and services designed to provide the flexibility and agility to drive your VBR initiative
  • Extend the reach of your legacy systems with state of the art analytics and modeling to better optimize your network toward value

Providers

  • Benefit from the tools and assistance to design, contract and participate in VBR programs
  • Access real-time statistics for performance measurement and impact on cash flow

By 2019, a projected 68% of reimbursement will be tied to value-based programs.*

  60-70% of providers say they’re not meeting their alternative payment and VBR goals.*

* Journey to Value: The State of Value-Based Reimbursement in 2016, McKesson

Get Started

Engage with us.

Ready to join the world of better value-based reimbursement? Contact us today to get started.

Careers

Join our team.

We are always looking for talented professionals. Email your resume with a cover letter stating your interest to careers@payformancesolutions.com.