Payors

Contract and medical cost

monitoring on autopilot

Contract and medical cost

monitoring on autopilot

Contract and medical cost

monitoring on autopilot

Contract and medical cost

monitoring on autopilot

Empower your provider contracting and network teams. Stay aware of medical cost trends and succeed in VBC. Kubera powers contract negotiations, transparency, and accurate payment performance.

Empower your provider contracting and network teams. Stay aware of medical cost trends and succeed in VBC. Kubera powers contract negotiations, transparency, and accurate payment performance.

Empower your provider contracting and network teams. Stay aware of medical cost trends and succeed in VBC. Kubera powers contract negotiations, transparency, and accurate payment performance.

Empower your provider contracting and network teams. Stay aware of medical cost trends and succeed in VBC. Kubera powers contract negotiations, transparency, and accurate payment performance.

The problem

The problem

Managing contract performance and spend
across network partners is complicated

Managing contract performance and spend across network partners is complicated

Managing contract performance and spend across network partners is complicated

Accurate payments are dependent on reconciling data sources and set-up of legacy systems, and inaccuracies are costly.

Accurate payments are dependent on reconciling data sources and set-up of legacy systems, and inaccuracies are costly.

Payors often have under-optimized contracts and medical cost ratios.

Trust and alignment with provider partners is needed to enter into complex arrangements.

OUR solution

End-to-end contracts and
spend intelligence

One stop source for contract data, scenario modeling for language and payment methodologies, and claims-based intelligence for cost trends and savings opportunities

OUR solution

End-to-end contracts and
spend intelligence

One stop source for contract data, scenario modeling for language and payment methodologies, and claims-based intelligence for cost trends and savings opportunities

Managed Care Policies and Contractual Terms

Manage contractual requirements and changes in policy effectively, ensuring data is updated and configured correctly in systems.

OUR solution

End-to-end contracts and
spend intelligence

One stop source for contract data, scenario modeling for language and payment methodologies, and claims-based intelligence for cost trends and savings opportunities

Managed Care Policies and Contractual Terms

Manage contractual requirements and changes in policy effectively, ensuring data is updated and configured correctly in systems.

OUR solution

End-to-end contracts and spend intelligence

One stop source for contract data, scenario modeling for language and payment methodologies, and claims-based intelligence for cost trends and savings opportunities

Managed Care Policies and Contractual Terms

Manage contractual requirements and changes in policy effectively, ensuring data is updated and configured correctly in systems.

Scenario Modeling

Scenario Modeling

Scenario Modeling

Predict outcomes, classify performance of contract language and payment structures, prepare for alternate payment models (from fee for service to bundles to complex risk), and make informed decisions in negotiations.

Predict outcomes, classify performance of contract language and payment structures, prepare for alternate payment models (from fee for service to bundles to complex risk), and make informed decisions in negotiations.

Predict outcomes, classify performance of contract language and payment structures, prepare for alternate payment models (from fee for service to bundles to complex risk), and make informed decisions in negotiations.

Claims-Based Intelligence

Stay on top of cost trends, analyze spend (by contract, location, department, etc.) and enhance contract performance measurement and improvement initiatives.

benefits

Maximize contract performance

Benefits

Maximize contract performance

Ensure accuracy of contract payments

Identify where spend can be optimized

Reduce appeals and increase strength of provider relationships

Move into value based care that bends the cost curve

Reduce appeals and increase strength of provider relationships

Move into value based care that bends the cost curve

Benefits

Maximize contract performance

Claims-Based Intelligence

Stay on top of cost trends, analyze spend (by contract, location, department, etc.) and enhance contract performance measurement and improvement initiatives.

benefits

Maximize contract performance

Benefits

Maximize contract performance

Ensure accuracy of contract payments

Identify where spend can be optimized

Reduce appeals and increase strength of provider relationships

Move into value based care that bends the cost curve

Reduce appeals and increase strength of provider relationships

Move into value based care that bends the cost curve

Benefits

Maximize contract performance

Claims-Based Intelligence

Stay on top of cost trends, analyze spend (by contract, location, department, etc.) and enhance contract performance measurement and improvement initiatives.

benefits

Maximize contract performance

Benefits

Maximize contract performance

Ensure accuracy of contract payments

Identify where spend can be optimized

Ensure accuracy of contract payments

Identify where spend can be optimized

Reduce appeals and increase strength of provider relationships

Move into value based care that bends the cost curve

Benefits

Maximize contract performance

our clients say

Our team has been looking to develop a medical cost strategy, including identifying poor performing contracts, tiering our networks, and selecting provider partners to trial value-based care arrangements. Kubera’s platform makes all of this much easier.

Chief Financial Officer

Northeast Managed Care Plan

Optimize your organization’s financial performance.

Optimize your organization’s financial performance.

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our clients say

Our team has been looking to develop a medical cost strategy, including identifying poor performing contracts, tiering our networks, and selecting provider partners to trial value-based care arrangements. Kubera’s platform makes all of this much easier.

Chief Financial Officer

Northeast Managed Care Plan