Payment Reform

Qualifacts' CareLogic Payment Reform Solution

Payers across the country are moving toward payment reform and pushing providers to follow the money by adopting new payment models, which include fee-for-service, bundled payments, value-based purchasing, accountable care organizations (ACOs) and health homes. These models are intended to improve quality of care and control the rising costs of healthcare in the U.S. while serving as an alternative to the traditional cost-reimbursement model.

To ensure successful and efficient adoption of new payment models, behavioral health and human services providers should leverage a comprehensive EHR. Qualifacts’ single platform EHR, CareLogic Enterprise, combines robust billing and data management capabilities within one system, simplifying the billing process through intuitive workflows that make proper documentation and signatures a required part of the claims process. With CareLogic providers can easily produce clean claims and guarantee minimal impact on reimbursements while transitioning into payment reform.