With the fierce competition in today’s marketplace, as well as rising healthcare costs and pay-for-performance contracting, negotiating provider contracts has become a complex and often difficult process. New reimbursement methods and complex contract terms can lead to decreased pricing cycle efficiency. Portico Pricing enables the administration of provider reimbursement contract terms and supports automated claims pricing, allowing for streamlined negotiations and accurate payments.
Portico Pricing Creates Efficiency
Portico Pricing is an enterprise-class, web-based software solution that reduces the time required to set up and maintain pricing terms for providers by centralizing and automating the administration of provider contracts and associated pricing terms. Simplified contract maintenance and greater pricing accuracy reduces administrative costs and improves payment accuracy.
Portico Pricing enables the configuration and administration of complex provider contract pricing terms and supports automated pricing of claims, regardless of the complexity of the contracts. The solution is comprised of Pricing Manager, a pricing terms administration application; Pricing Gateway, a high performance engine for claims pricing; and Portico Foundation, a services-oriented provider relationship repository.
Portico Pricing delivers powerful benefits, including:
- Reduced medical claims costs through greater pricing accuracy
- Greater options in negotiating provider contracts
- Reduced administrative costs through greater pricing automation
- Improved quality and cost-efficiency
- Reduced time to set up and maintain contractually established pricing terms
- Reduced errors in claims pricing
- Simplified contract maintenance
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