AP2 enables Health Plans to:
AP2 improves FFV payment accuracy, transparency, compliance and timeliness.
Advanced Payment Platform (AP2) is a value-based reconciliation platform that combines existing Analytics capability with a powerful Reimbursement Engine that complements existing claims based payments.
AP2 lets you house all your non-bundled FFV payment programs in a single solution.
Our robust audit and automated retroactive algorithms ensure compliance and transparency for healthplans and providers.
Why Advanced Payment Platform (AP2)?
AP2 improves the speed, accuracy, and compliance of FFV reimbursements
AP2 scores highest compliance rating in IDC’s Review.
2017 IDC Value based reimbursement Technology spotlight.
|VBR Impact and Requirement||Compliance|
Source: IDC Technology spotlight
Operationalize every phase of your FFV payment programs.
Simplify configuration of FFV programs on a business user configurable platform
Flexibly build ALL types of VBR/FFV programs:
Shared risk / savings
Incentive / PCMH / Care coordination
Bundled payment (integrates with existing tools)
Generate real time FFV transactions and support path breaking FFV programs
Engage all stakeholders via integrated workflow vs. emails
Robust audit trails enable compliance to regulatory agencies and external auditors
Transparently provide payment outcome information to providers, members and internal stake holders
Seamlessly integrate via ETL, Web API or Batch files to/from various sources:
What our customers say.
VBR PROGRAM MANAGER
The Value based reimbursement system that was developed was not only functionally robust from an online perspective, but it also reduced batch processing windows from 18 – 24 hours to 4 – 6 hours. The amount of information that an end user could view ‘at-a-glance’ greatly enhanced productivity. The sophisticated drill-down features helped streamline the Plan’s operational activities. The Plan users were so satisfied with the system that they approved more funding to support the development of other payment initiatives within their portfolio. The system was able to efficiently adapt to the evolving needs of the customer.
VBR PROJECT MANAGER
We had exceptionally aggressive timelines to deliver and deploy a very complex payment reimbursement system. Simplify Healthcare was able to meet the deadlines, even as our customer continued to add requirements while we were in trial testing. Their team worked many nights and weekends to enable our Plan to go live on time.
IDC RESEARCH ANALYST
Simplify Healthcare’s Advance Payment Platform (AP2) is a value-based reimbursement system. It combines the payer’s analytics capability with a powerful reimbursement engine that complements existing claims-based FFS payments. AP2 is a modular solution that can be implemented in a phased manner per payer readiness. It is suitable for all lines of business, including commercial and government programs.