(214) 826-4373
toll free (800) 929-2858
info@esihealthcaresolutions.com
Challenging reimbursement environments and regulatory changes under the Affordable Care Act (ACA) are transforming provider reimbursements with an increasing focus on value and pay for performance (P4P), rather than volume. Yet, providers are struggling to implement the level of clinical and organizational integration required to simultaneously reduce costs and improve quality, and also build a framework for population health management. As healthcare transformation unfolds, sustainable payment models must balance payment and productivity with quality and outcomes. 
Payment
Adjudication
Sustainable Value-Based Payment Models

Our CAPS operating system delivers accurate transaction processing and quantifiable data focused on provider payment, productivity, performance, and value.

 

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Compensation Consulting
Aligning Incentives with Reimbursement

We provide analysis and design of physician compensation programs and professional services arrangements to ensure that payments comply with fair market value guidelines.

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Performance
Analytics
Leading-Edge Data Modeling and Benchmarking

Our comprehensive system provides the tools to analyze clinical and financial data using client-specific parameters and industry benchmarks to develop focused solutions for each client's unique challenges.

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What Our Clients Say

CAPS has provided the much needed structure to make necessary changes to our payment model for professional services between Parkland and UT Southwestern Medical School. It has provided the desired transparency between the two entities. Since 2005, CAPS has allowed our organization to successfully and accurately adjudicate claims payment to the medical school of over $40 million a year.

John Dragovits
Former Executive Vice President and CFO
Parkland Health & Hospital System
Contact Us

Are you ready to learn more about our solutions? Contact us for more information:

(214) 826-4373
toll free (800) 929-2858
info@esihealthcaresolutions.com