Are you negotiating a good contract — or a great one?
Precidiem predicts cost impacts for proposed hospital and physician reimbursement contracts. All the power analysts need, right on the desktop.
Don’t let the other side have better information.
When health care payers negotiate critical contracts, uncertainty, lack of knowledge or competency gaps in informatics result in a weak contracting position. Our deep knowledge of health care contracts, combined with our modeling technology, helps customers wring every drop of value out of the process.
- Identify the best negotiation tactics
- Fine-tune contract clauses to their maximum benefit
- Understand how clauses inside a contract interact
- Predict direct and indirect costs of every contract change
Your claims history, every proposal, one clear answer.
Precidiem analyzes your claims history to calculate the impact a proposed pricing arrangement — or several — could have on your business, while capturing statistics that measure the strength and weakness of each.
Calculate the impact
Reprice historical claims under each proposed arrangement to see the true dollar effect before you commit.
Measure strength & weakness
See how often reimbursements fall to billed charges, when stop-loss rules kick in and which services carry carve-outs.
Model variations
Test stop-loss thresholds and formulas, carved-out vs. bundled services, methodologies and inflation factors.
Identify underlying causes
Integrated analytics slice and dice results to expose interactions between contract clauses.
Look ahead
Project how inflation — organic or strategic — changes the picture in years two and three.
Right on the desktop
All the power analysts need, without a months-long enterprise rollout.
Model any reimbursement approach — including the creative ones.
Precidiem supports Medicare, Medicaid and Commercial methodologies, along with the Medicare and Medicaid derivatives typically used in creative contracting arrangements.
Government benchmarks
Commercial structures
Contract clauses
What you can’t see is costing you.
These are the blind spots we see most often — and the questions Precidiem is built to answer.
Common analysis mistakes
Questions Precidiem answers
Questions health plans ask us
Who is Precidiem built for?
Health plans and payers — network management, contracting, actuarial and finance teams that need to understand the cost impact of hospital and physician reimbursement contracts before they are signed.
What data does Precidiem use?
Precidiem runs on your own claims history. Repricing real historical claims under each proposed arrangement gives a far more reliable estimate than averages or benchmark hospitals.
How many scenarios can I compare?
As many as you need. Precidiem permits an unlimited number of side-by-side pricing arrangements, so you can test variations of stop-loss, carve-outs, methodologies and inflation together.
How long does implementation take?
Unlike most analytic systems, Precidiem is typically fully implemented in two to three weeks.
Can HPT help beyond the software?
Yes. Alongside Precidiem, Health Plus Technologies provides guidance on reimbursement strategy, analytic data warehousing and custom analytic models for payers.
How do I see a demo?
Contact our sales group to schedule a live online demonstration — we’ll walk through real contract scenarios with your team.
Precidiem Brochure
An overview of Precidiem’s benefits and functionality — the content on this page, ready to share.
How do I get started?
Contact our sales group to schedule a live Internet demonstration of Precidiem.