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Overview

As healthcare moves toward value‑based care, government payers face growing pressure to align payment with clinical results – ensuring quality outcomes, accurate risk profiles and predictable financial performance in an increasingly complex regulatory environment. 

Solventum’s performance management is a key enabler of this shift, leveraging our proprietary patient classification methodologies and clinical intelligence that support accurate measurement, transparency, and fairness in value‑based payment models, helping align reimbursement with patient complexity, outcomes, and quality of care. 

To help payers operationalize these capabilities in support of quality outcomes and total cost of care objectives, Solventum works with ECLAT Health Solutions within large‑scale payer documentation and coding review programs.

How it works

Solventum delivers the methodology and intelligence layer through the Solventum™ Financial Integrity Platform, anchored by the proprietary Solventum™ Clinical Risk Groups (CRGs) Classification System. CRGs provide a clinically grounded, regulator‑trusted foundation for aligning risk profiles with true patient acuity to support quality‑based payment models.

Building on this foundation, ECLAT applies Solventum’s unique methodologies through their evaire platform to support chart prioritization, workflow management, and quality controls. ECLAT’s domestic and global clinical review teams execute large‑scale documentation and coding reviews—helping payers operate with transparency, defensibility, and confidence.

Why this matters

Solventum's proprietary CRG Classification System combined with ECLAT's focus on large-scale payer documentation and coding review is expected to help payers advance value-based care by:

Strengthening confidence in risk adjustment operations
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Improving documentation integrity and audit readiness
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Supporting quality‑based payment and total cost of care initiatives
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Scaling performance management activities efficiently
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Who this helps

  • Medicare Advantage organizations
  • Medicaid managed care organizations
  • Affordable Care Act marketplace insurers and administrators
  • Risk-bearing healthcare organizations
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“Performance management is a cornerstone of Solventum’s value‑based care strategy. Our patient classification systems are used by payers and regulators to ensure accurate, fair payment and to advance quality‑driven healthcare. ECLAT’s evaire platform and operational expertise strengthen our ability to deliver a comprehensive software-plus-services model for financial integrity. Together, we ensure regulatory-grade accuracy and clinical precision in risk performance, driving more predictable results and stronger financial discipline.”
 
Dr. Sandeep Wadhwa
Global chief medical officer, Health Information Systems, Solventum

 

“The combined capabilities of ECLAT and Solventum will deliver more robust, scalable risk adjustment solutions to government payers. Stronger alignment between coding accuracy and population-level risk and payment modeling is a true game changer for government payers looking to improve risk performance with defensible, measurable results.”
 
Gabe Stein
Chief executive officer, ECLAT Health Solutions