Reimagine how to deliver value-based cancer care

Shift from paying for care to enabling oncology providers to make data-driven decisions and performance improvements

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Payer Solutions for Value-Based Care

Collaboration between payers and specialty care providers is key to driving financial efficiency, quality care, health equity, and improved member experience in oncology. Increasingly, this means payers are turning to Integra Connect to help them innovate and lead:

  • APM design, implementation, and administration
  • Practice transformation services
  • Operational program support
This enables you to:
  • Build the infrastructure and solutions for an APM, including how to determine quality measures for an effective program
  • Integrate data to optimize efficiency and performance
  • Leverage actionable insights and analytics from clinical and claims data
  • Understand the requirements, analytical insights, and service models necessary to enable providers to succeed within value-based oncology care

How it Works

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Deliver innovations to providers, for members

Create alternative payment models that drive improved care and reduce costs, while harnessing data and analytics for improved decision-making.

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Manage costs

Determine cost and utilization trends, benchmarking, and practice-specific actions to drive savings opportunities based on clinical and claims data.

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Reduce the burden on internal resources

Enable a VBC partner to drive end-to-end APM enablement and administration, including shared savings reconciliation, financial and risk modeling, trend and risk adjustment, and MEOS payments tracking and reconciliation.

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Optimize treatment decisions

Use real-world data to determine clinical treatment patterns and biosimilar adoptions, and identify opportunities to improve market adoption of your drug.

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Accelerate practice transformation

Leverage clinical and operational experts to deliver “hands-on” support, including assessments, coaching, opportunity identification, and care management optimizations.

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Monitor clinical quality

Understand clinical quality based on EHR data for QA, registries, and regulatory reporting.

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Understand how oncology practices and health plans can succeed with APMs.

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Frequently Asked Questions

There are a multitude of benefits to shifting to value-based care. Value-based care was created to help:

  • Patients achieve better health and spend less money
  • Providers achieve greater efficiencies – and patient satisfaction
  • Payers control costs and reduce risk
  • Suppliers align their prices with patient outcomes

A high-value healthcare delivery system features:

  • Measurable outcomes and costs for every patient
  • Shared savings model
  • Integrated care delivery across separate facilities
  • Ability to expand services geographically
  • Robust information technology platform

Put simply, precision medicine has the potential to improve outcomes by matching a patient to a treatment option based on his/her/their tumor’s genetic or molecular profile. This approach enables patients to get the potentially “right” treatment, more quickly – which results in better health and treatment outcomes at lower cost.

Compared to “traditional” medicine, precision medicine is a much more targeted approach. According to the Precision Medicine Initiative, precision medicine is “an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle.” This approach allows doctors and researchers to predict more accurately which treatment and prevention strategies are better suited for specific populations. It is in contrast to a one-size-fits-all approach, in which disease treatment and prevention strategies have less consideration for the inter-individual differences.

At Integra Connect, we think so. Precision medicine offers a tremendous opportunity to shape the future of healthcare. While it is currently most advanced in oncology, precision medicine also has exciting applications beyond oncology.