Health Care Contract Management Solutions

Health systems can benefit in several ways by incorporating advanced contract management functions and episode-of-care analytics into their routine practices. These include accurately forecasting their revenue based on complex contract terms, identifying systemic payor issues, and negotiating more favorable contracts that protect long-term revenue.

nThrive offers healthcare contract management and modeling solutions to monitor complex commercial payor contracts and capture all rightfully-earned revenue. When integrated with our other solutions, health systems can benefit from highly accurate patient bill estimates based on a common contract database, as well as automated claim submission, reduced denials and reduced underpayments. This software has consistently ranked #1 by KLAS* since 2006 and is utilized by nearly 200 health systems. We deliver:

  • 5-10x return on investment based on historical performance of clients
  • Improved recovery thanks to accurate identification of underpayments
  • Complete government coverage, including Medicare, TRICARE, Medicaid and Workers’ Compensation
  • Risk mitigation in the transition to fee-for-value with more transparency and support for over 110 defined episodes
  • Contract modeling capabilities to project expected profitability
  • Improved payor contract performance of bundled payment and at-risk contracts

© 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com. "2014 Best in KLAS: Software and Services Report." January 2015. "2013 Best in KLAS: Software and Services Report," January 2014. "2012 Best in KLAS: Software and Services Report," Dec. 2012. "2011 Best in KLAS: Software and Services Report," Dec. 2011. "Transcription Services: Competition, Technology, Consolidation," Nov., 2010. "Transcription Services: Steady Demand in a Volatile Market," Nov. 2009.

Case study

Case study

Kettering Health Network partners with nThrive to capture 50 percent more patient underpayments with improved contract management

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Case study

Case study

Duke University Health System and nThrive automate contract management processes to collect $90+ million in payor underpayments

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Contract Management