Case Study: a leading healthcare platform accelerates Pay-for-Performance onboarding and reconciliation with Cybage

Leading Healthcare Platform cuts P4P credit cycle from 90 to 45 days with Cybage

The client, a leading healthcare platform based in the US, faced challenges modernizing its high-volume Pay-for-Performance (P4P) financial reconciliation. As an insurance company and benefit program manager, it needed to eliminate bottlenecks in its paid claims reconciliation process, enhance data visibility, and accelerate its disbursement cycle. Cybage was engaged to address these operational inefficiencies and ensure contractual compliance.

Cybage implemented a scalable P4P integration engine and an automated onboarding framework. This solution streamlined the entire workflow, ensuring faster go-live readiness and seamless provider collaboration. As a result, Cybage helped the client automate 73% of the P4P reconciliation process, reduce the credit cycle from 90 to 45 days, and enable the accurate disbursement of $1.5M to $2M across the provider network.