Healthcare Compliance, Quality & Safety | Quality Review
Gain a clear picture of provider quality and performance
The average cost to perform physician quality reviews 2x per year, as required by The Joint Commission, is just under $300,000 for peer groups of 20-100 providers.
Using data analyzed from symplr's quality solutions
Where does your provider quality stand?
Healthcare has traditionally been based on fee-for-services (FFS) models, where a provider performs a service and is paid accordingly. With FFS payment models, providers have little incentive to demonstrate quality improvement to payers.
Healthcare is shifting to value-based care where revenue and reimbursements are directly tied to quality of care and patient outcomes. In a survey of 102 healthcare executives, a majority of respondents stated at least 25% of their revenue is tied to value-based payments—with over half saying value-based payment will be the dominant revenue model in the next five years.
Quality metrics lead to better negotiating power with payers when benchmarks are exceeded, leading to better reimbursement rates. symplr’s cloud-based provider quality software tools deliver the comprehensive provider quality reporting and monitoring you need for all quality improvement initiatives.
From initial onboarding to CMS accreditation measurements to value-based payment reporting and outcomes, Quality Review pulls the information you need into actionable dashboards, enabling you to focus your time and energy on the most critical provider issues.