
Models - Definition:
AnalyTXs AllPayor applies user specified contract terms to whatever population of hospital claims you select and creates a model population that can be evaluated using the system's reporting tools - including "drill down" to claim level detail.
- Negotiate payor contracts - Know the bottom-line financial impact of contract provisions
- Have the facts you need - Evaluate and quantify by product line, facility, physician...more
- Develop alternate strategies - Plan your negotiating campaign step-by-step
The AnalyTXs AllPayor system easily permits existing contracts to be cloned; similar contracts can be quickly set-up with only minor changes to specific rates and percentage factors. A proposal received in the morning can be modeled and evaluated that same day. Compare the proposed contract terms to any population of your claims you wish. Pick any population of claims that you feel mirrors the case mix of the proposal and see how it stacks up with Blue Cross, or Aetna or United or even Medicare or Medicaid. Reporting advances make it easy to quantify the real-time effect of specific contract term changes by Product Line, Facility, or even by Physician or Physician group. And you don't need to be a programmer to use the AnalyTXs AllPayor Modeling feature. Test drive the payor's proposed contract terms and identify all the counter proposals your hospital can live with.