Edifecs, Inc. announced a collaboration to integrate their leading technologies to provide a unique solution for both payers and providers to accelerate the adoptions of value-based payment (VBP) models. The combined solution helps overcome the barriers that have prevented more rapid adoption of alternative payment models by combining Edifecs' VBP actuarially-driven templates and precision risk intelligence capabilities with 3M patient classification methodologies to pay providers and accurately measure healthcare quality. This advanced approach allows payers and risk-bearing providers to quantify the value of preventing negative events and allocate accountability across multiple providers, health systems, and payment arrangements.

For more than 40 years, 3M HIS has developed health care classification, grouping and payment methodologies. Edifecs has a legacy of expertise working with payers to deliver a comprehensive approach to all VBP programs and provide deep actionable insights into program performance, from utilization to payments and everything in between. The companies' combined expertise and technology effectively overcomes the challenge of implementing alternative payment models by merging provider experience and member health information to increase data sharing between payers and providers.

Ultimately, this will aid the adoption of VBP contracts through greater transparency across critical data and facilitate providers' move into two-sided risk contracts. In an increasingly complex and dynamic regulatory and payment environment, the joint 3M and Edifecs solution enables classification, grouping, edits, and reimbursement calculation systems for inpatient, outpatient, and professional settings. These capabilities further support mandated efforts to address both social influencers of health and concerns of health equity, especially in light of value-based goals and outcomes.