Key Highlights
- Comprehensive solution enhances precision in healthcare contract claim pricing and comparative modeling.
- Unique technology offers access to a vast library of pricing methodologies, supporting a variety of healthcare programs.
- Reduces payer-provider friction and supports transparency by allowing detailed view of claim pricing processes.
Source: Direct
Notable Quote
- “We understand that navigating complex stakeholder relationships and evolving healthcare regulations requires more from a cost management partner than strictly managing cost. Health plan contracts aren’t designed in a one-size-fits all manner and this new, highly customizable solution completes our suite of offerings,” – Jay Deady, President of Price Optimization at Zelis
SoHC's Take
Zelis’ introduction of the In-Network Pricing and Contract Modeling solution marks a significant advancement in healthcare financial management. This all-encompassing, customizable solution is designed to address the complex challenges faced by health plans in managing contract claims pricing with unprecedented precision and transparency. By integrating this solution, Zelis not only enhances its full-service claim-pricing suite but also sets a new standard for operational efficiency in healthcare financial transactions.
The unique capability to provide detailed pricing methodologies and support for a broad spectrum of healthcare programs underscores Zelis’ commitment to innovation. Furthermore, the solution’s focus on reducing friction between health plans and healthcare providers, and its emphasis on transparency and accuracy, reflect a deep understanding of the needs of all stakeholders involved in healthcare financial transactions.
The recent partnership with Availity further amplifies Zelis’ efforts to streamline healthcare financial processes, promising a more seamless interaction between payers and providers. This collaboration is a testament to the company’s dedication to modernizing the healthcare financial experience, a mission that is clearly articulated and pursued through such forward-thinking solutions.
In a landscape where healthcare financial management is increasingly complex, Zelis stands out with its comprehensive suite of services. By offering solutions that minimize administrative burden, enhance pricing transparency, and improve stakeholder experiences, Zelis is not only responding to the current needs of the healthcare industry but also anticipating future challenges. This proactive approach is crucial for fostering a more efficient, transparent, and patient-centric healthcare system.
