Establish your Population Health Infrastructure

CRITICAL SUCCESS FACTORS TO ESTABLISH YOUR POPULATION HEALTH INFRASTRUCTURE

BUSINESS ISSUE The revenue cycle is transforming, moving from fee-for-service to value-based reimbursement. Going forward, accounting for both the cost and quality of clinical care is the future of successful Revenue Cycle Management in the United States.

PROBLEM Investing in value-based care, where the design of the solution includes reduced revenue, has proven challenging for many care organizations, despite the long-term projected savings and increased margins that value-based care promises to deliver.

nThrive Analytics, a national leader in traditional RCM analytics, now includes a suite of Alternative Payment Model tools to keep your organization in front of expanding value-based services and cost model analytics.

nThrive’s Revenue Cycle Analyzer is an end-to-end revenue performance management solution that combines operational and financial data across the front, middle and back of the revenue cycle, providing a central source of truth and unlocking actionable interventions that drive revenue yield and reduce cost-to-collect to help achieve your mission.

Contract Analyzer is an advanced and customizable solution that elevates nThrive’s Contract Management solution to the next level by providing immediate insight into contract and payor performance.

nThrive’s Retrospective and Prospective Bundled Payments solutions, MIPS reporting services (for existing clients) and Advanced APM analytics can bring your organization to the next level by maximizing value-based reimbursements (VBR).

Just getting started? Assess your risk-readiness with nThrive’s VIP (Value Index Position) Scorecard and take your first step towards increasing your margins while maintaining costs.

DRIVING QUALITY PERFORMANCE THROUGH THE POWER OF YOUR REVENUE CYCLE

Physician Leadership

Data Analytics Tools

Evidence-Based Protocol

Physician-Led Clinical Integration

Care Coordination

Access to Affordable Care

Disease Management

Preventive Health Services

Patient-Centered Medical Home

In-Network Benefit Design

The Strategic Value of Value

Decrease Cost to Collect

Improve Revenue Yield

Increase Patient/Employee Satisfaction

How are you investing in your revenue cycle to make it happen?

“Value-based payment models are integral to the success of any population health strategy. How much you invest in your systems today will make a big difference in how well you transition to population health and the associated requirements tomorrow.”

– Carl Couch, MD, MMM, FAAFP, nThrive, Chief Medical Officer

ALTERNATIVE PAYMENT MODELS ARE THE FUTURE

$478 MILLIONSAVINGS GENERATED*

0% Medical cost trend over 6 years

*Compared to S & P Healthcare inflation in our markets

NORTH TEXAS EMPLOYEE HEALTH PLAN

PMPM

CALENDAR YEAR

Actual Expected Baseline

2012

$700

$650

$600

$550

$500

$450

$4002013 2014 2015 2016 2017 2018

$482 $481$496 $500

$482 $481$500

$482

$516

$552$580

$606$635

$659

© 2019 nThrive, Inc. (“nThrive”) All rights reserved. The nThrive name, products, associated trademarks and logos are owned by nThrive or related entities. R101519TLM

*Bad Debt Collections are provided by Optimum Outcomes, Inc., a separate entity owned by nThrive, Inc.*Bad Debt Collections are provided by Optimum Outcomes, Inc., a separate entity owned by nThrive, Inc.

nThrive® is a registered trademark of nThrive, Inc. © 2018, nThrive Inc. All rights reserved. RV032818

Eligibility Enrollment

Registration Quality AssuranceSelf Pay and Bad Debt* Management

Patient ID and Address Verification Denials Management

Eligibility and Benefits VerificationUnderpayment Recovery

Prior AuthorizationsClinical and Government Appeals

Patient Bill EstimationEpisode Management

Propensity to PayContract Management and Modeling

Point-of-Service CollectionsPayor Audit Management

Financial Counseling Reserve Management

Accounts Receivable Management

Claims and Remittance Management

Health Information Management

TranscriptionCharge Capture Integrity

CodingChargemaster Management

Coding Audit and CompliancePatient Statusing and Medical Necessity

Clinical Documentation IntegrityCare Coordination and Utilization ManagementRegistry

Management

Patient Financial Solutions

Patient Access Solutions

Mid-Revenue Cycle Solutions

SERVICES

TECHNOLOGY

EDUCATION

ADVISORY

ANALYTICS

nThrive Capabilities Span Patient-to-PaymentSM

Services Technology Education Advisory AnalyticsImplement lean revenue cycle best practices to streamline your operations

Improve efficiencies and increase margins with performance management tools

Empower staff with on-demand learning tools to keep pace with the demands of health care reform

Team with experts to successfully optimize operational and financial strategy

Elevate decision making + reporting with data-driven insight across your revenue cycle

Our integrated solutions span the revenue cycle and are infused with education, advisory and analytic services that hardwire best practices throughout your system and transform key areas of your ambulatory operations with a single partner.

Let nThrive help you with your value-based care initiativesREVENUE CYCLE ANALYTICS CONTRACT ANALYZER BUNDLED PAYMENTS

In a survey of the NEJM Catalyst Insights Council in July 2018, 42% of respondents say they think value-based reimbursement models will be the primary revenue model for U.S. health care and 36% were uncertain.

nThrive’s Bundled Payments solution, coupled with the power of our Contract Management and Revenue Cycle Analytics solutions will position you for both current and future success as the U.S. health care revenue model evolves.

nThrive at a glance

nThrive empowers health care for every one in every community and provides true Patient-to-PaymentSM solutions customized to your needs

Through our legacy companies, nThrive has been providing financial, clinical, and operational consulting services and technology for more than 30 years

nThrive serves 1,350 hospitals and health systems, from single hospitals to 100+ hospital systems, including 17 of 19 U.S. News & World Report Best Hospitals Honor Roll*

Our clients are served by our more than 650 credentialed HIM colleagues

20% CMI increase realized by health care providers engaged with nThrive CDI

Powerful end-to-end analytics solution provides central source of truth to unlock actionable interventions, drive revenue yield

Ask us about nThrive’s end-to-end solution that combines operational and financial data into a single source of truth to help achieve your mission.

REVENUE CYCLE ANALYZER

* U.S. News & World Report Best Hospitals Honor Roll 2015.