Introducing Aver, The Bundled Benefits Management Company

Just like carving out your prescription benefits to PBM’s, Aver gives you the freedom to carve out your Bundled Payment program.  Our turnkey solution helps you with everything from design, contracting, and implementation, led by a team that has singularly focused solely on bundled payments since 2012.  

 

How it works?

It starts with a phone conversation so we can get a sense of where you have the most opportunity for medical cost savings and operational efficiency.  From there, we can either use commercially available claims information to identify high-level opportunities in your chosen area.  Or as we have done with dozens of payers, we can sign confidentiality and security agreements to ingest your claims and provide a personalized snapshot of your specific opportunities.  You choose what works best for you.  

 
Identifying Episodes Aver’s proprietary software helps you identify the episodes with the biggest opportunity, given your membership, geographic, and strategy.  And depending on whether you’re starting your first episode, scaling episodes, or expanding to more episodes, we can assist you every step of the way.

Identifying Episodes

Aver’s proprietary software helps you identify the episodes with the biggest opportunity, given your membership, geographic, and strategy.  And depending on whether you’re starting your first episode, scaling episodes, or expanding to more episodes, we can assist you every step of the way.

Provider Contracting Aver’s proprietary analytics engine helps you identify the providers and network to help execute your bundled program. And using analytics to determine which providers will help you achieve your objectives, our dedicated team can help you secure the contracts needed.

Provider Contracting

Aver’s proprietary analytics engine helps you identify the providers and network to help execute your bundled program. And using analytics to determine which providers will help you achieve your objectives, our dedicated team can help you secure the contracts needed.

Claims Operations Aver’s proprietary software helps you move from Fee-For-Service claims to episode-based reimbursement.  And our system is flexible to integrate with most medical billing software to deliver custom reports for your ongoing monitoring and strategy development.

Claims Operations

Aver’s proprietary software helps you move from Fee-For-Service claims to episode-based reimbursement.  And our system is flexible to integrate with most medical billing software to deliver custom reports for your ongoing monitoring and strategy development.

 

About Us

What is our experience?

We have analyzed over $200B in medical claims

We have configured over 20k bundles

We have saved organizations over $200M 

How can you do it, when we can’t?

We have been focused on Bundles longer than anyone in the industry

We have world-class PhD’s, Data Scientists, and Engineers, who have built the leading analytics engine for Bundle programs.  And our analytics engine is flexible for any episode of care methodology.  We can even custom bundles based on your unique needs.

Why should I outsource Bundles to you?

MLR

Expertise

Systems

 

Case Studies

[downloadable case study for UPMC

[downloadable case study for BCBS NC