Vitality Payer Scorecard™
The payer accountability platform backed by real data from hospitals, for hospitals.
Payer Acountability Platform
Identify Payer Behavior.
Benchmark Your Performance.
Improve Negotiations.
Healthcare providers are facing an increasingly challenging reimbursement environment and unprecedented cost containment pressures due to payer performance.
Real Payer Performance Data
Using benchmark comparisons, accounts receivable and prompt payment information by payer can help health systems assess the root causes of claims payment delays.
Comparing denials details across payers, payer types, and lines of business help health systems evaluate billing and medical record documentation issues while highlighting egregious payer denial practices.
Powerful, Quantitative Evidence
The Vitality Payer Scorecard supplies hospitals and hospital state associations with powerful, quantitative evidence to support provider work against anticompetitive practices. At your fingertips at all times.
You will see who is thriving, who needs help, and spotlight which payers are good or bad actors to aid in state policy/advocacy issues.
Standardized Values
All metrics are normalized so you can filter by patient type (IP/OP), specialty (OB, Ortho, etc.), and payer. The Vitality Payer Scorecard shows specifics to your organization just for your users and de-identifies your healthcare peers, rolling up to state and national views, creating reliable and valid data in which to draw evidence-based conclusions for the purposes of advocacy at the state and federal level.
Hospitals Have Moved From Heroes to Zeros
Healthcare providers are facing an increasingly challenging reimbursement environment and unprecedented cost containment pressures due to healthcare payer performance.
Most major healthcare insurers are running billions behind in payments to providers, and increasing the number of reimbursement denials. Payer behavior affects timely patient care and affordability.
Hospitals Lack Critical Data to Address Payer Issues
There are no unbiased industry standards or measurements that help hospitals analyze operation and financial efficiency compared to their peers.
State hospital association attempts to collect data from area hospitals to set “benchmarks” resulted in a time consuming, monthly, manual entry spreadsheet exercise that is full of user errors and incomplete data.
Now Is the Time to See the Whole Picture & Better Navigate the Payer-Dominated Environment
Every advocacy leader knows that standing alone has little impact to correct critical payer issues.
Hospitals coming together presents the entire picture of payer performance by state and throughout the nation, providing tangible evidence for payer accountability and legislative and regulatory change.
Payer Scorecard Reports
With Vitality Payer Scorecard, You Finally Have Answers
Vitality Payer Scorecard brings everyone together with necessary and normalized data points without sharing PHI, charges, or any other sensitive information.
Which payers have lower clean claim rates?
Which payers pay providers slower than others?
Which payers have higher denial issues by specialty?
Which payers have higher denials by patient type per state and nationwide?
What are reimbursement rates by payer, by specialty, by state and nationwide?
Which payers are using Lessor Rate of Charge by state and by hospital?
Payer Scorecard Reports
Measure What's Meaningful
Operational metrics focused on revenue flow for your hospital and for your state, regional, and national deidentifed hospital peers:
Prompt Pay
Measure how slow payers are paying you.
Reimbursement
Compare reimbursement and analyze lesser rate of charge.
Denials
Gain visibility to detailed denial metrics.
Join Vitality Payer Scorecard, It's Simple
Submit Your De-Identified Data
After installation of the PHI Scrubber, submit your deidentified claim (837) and remit (835) files to Hyve Health.
No special extracts or reports needed.
We Work Our Magic
After a Hyve Health review, your data is aggregated and fed into Vitality Payer Scorecard.
Get Access
Watch our short and sweet training videos, receive your individual login, and Voila! You now have access to Vitality Payer Scorecard!
CFO
Kansas Hospital
Revenue Cycle Leader
Tennessee Health System
CEO
Washington Hospital
Managed Care
Arkansas Hospital