Emptoris Contract Management for Healthcare

Emptoris Contract Management empowers healthcare payers and providers to actively manage their provider contracts throughout the contract lifecycle.

• Gain Contract Lifecycle Visibility – Gain deep insight into active contracts and a clear understanding of provider coverage and pricing models negotiated. Through clarity of the contract terms, both payers and providers have a more transparent mechanism for moving claims through the reimbursement and payments systems.
• Define and Manage Risk – Place a strong, yet flexible framework around the contract process and make standard contract language available to everyone across the enterprise to enforce compliance and minimize risk.
• Accelerate Time to Closure – Streamline and automate the initiation through approval stages of the contracting lifecycle, and remove unnecessary bottlenecks in the contract process with exception-based approvals.
• Ensure Compliance – Enforce operational compliance throughout the contracting process including conformance with federal regulations such as HIPAA and Stark, protecting valuable revenue streams from Medicare and Medicaid.

Improving the Payer/Provider Contracting and Payment Cycle

Emptoris Contract Management plays an essential part in the payer/provider cycle at many leading healthcare companies, acting as the system of record for the contracting and payment process. The solution provides a central repository for all information about the relationship between the payer and provider, streamlining the claims process by moving claims through reimbursement. The solution helps alleviate disputes around provider contracts by connecting the contract with the claims systems, improving the auto-adjudication rates.

Learn More About How Contract Management Strengthens Procurement Performance