Top 5 Aroris Health Alternatives & Competitors 2024

Given growing payer contract complexity and the traditional payer power advantage, more providers today seek contract management partners and solutions to help them win the best rates and terms and get paid in full. 

 With underpayments becoming more widespread, providers need to look closely at how actual payments coming in match rates agreed to in the contract.  A Becker’s Hospital Review study reveals that providers lose one to three percent of their net revenue annually due to underpayments from commercial payers. Another study puts that figure at 11 percent.  

Some third-party partners offer affordable contract management software, an option that optimizes contract performance, fee-tracking, and underpayment detection at a reasonable price. Partners that target large health systems can bring in contract consultants and experts to lead a team with the help of their proprietary (and possibly custom) software. Aroris Health is one of the latter, offering negotiations and analytics conducted by their experts and software to alleviate manual work on both partner and provider ends. 

What is Aroris Health and whom does it serve?

Aroris Health specializes in optimizing payer contracts for healthcare providers to enhance reimbursement rates. Utilizing data analytics and expert negotiations, Aroris aims to increase revenue at the source by transforming contract documents into visual databases and identifying rate opportunities. They target specialties including ambulatory surgery centers, primary care, behavioral health, health systems, specialty groups, and rural hospitals. 

Aroris Health’s unique feature is an interface that renders data derived from analytics into an easily digestible visual format. They convert payer agreements and reimbursement history into a visual database, enabling easy identification of opportunities for improved rates. Users can quickly grasp the insights they need to make the best business decisions. 

Their platform features digitized contracts, dashboard reporting, and contract renewal notifications. Once their legal and contract experts review contract terms and fee schedules, they provide tailored recommendations. They explain, “Using data that is hard to argue, Aroris negotiators expertly cut through payers' designed chaos to reach and win over decision-makers.” 

This integrated approach ensures that healthcare providers can make data-driven decisions to enhance their revenue. 

Their services include:

• Contract optimization:  identifies improved payment opportunities in your agreements and builds a data-backed rationale for getting your contracted rates. Its peer benchmarking renders the competitive landscape so you establish revenue-improving goals. 

• Contract negotiation: Aroris Health negotiators are healthcare industry experts who know when to compromise and when to fight.  

• Credentialing services:  Aroris Health professionals ensure new providers meet the highest standards of compliance and quality. They establish and maintain provider credentials with a combination of automation software and professional oversight. 

Aroris Health offers comprehensive contract management and optimization, but with expert involvement, it will take a meaningful revenue cycle budget. Still, this outlay could have a positive return. Aroris does showcase case studies that reflect 8 to 14+ percent increases in payer rates won. 

List of top 5 Aroris Health alternatives

• MD Clarity
• Tribunus Health
• PayrHealth
• Symplr
• Syntellis 

An Aroris Health alternative with underpayment detection, contract optimization, and contract modeling software

MD Clarity

Description

MD Clarity has been providing accurate contract management, underpayment recovery, and patient payment estimate services for over 10 years. It recently launched a contract modeling feature where providers can model proposed contract changes from insurance companies. A social-impact-driven software company, MD Clarity serves managed service organizations, progressive provider groups, and practices.  

MD Clarity’s products RevFind and ClarityFlow are designed to sweep in provider revenue. RevFind ingests, digitizes, and analyzes contracts, consolidating them in a single location. It compares every payment to payer contract terms and alerts staff to any discrepancies. Pursuing underpayments can result in millions of dollars in cash recovered and improved margins.

 With more patients requesting upfront, pre-service estimates, MD Clarity’s Clarity Flow solution provides automated patient payment estimate generation and send. When today’s patients can access accurate pricing both upfront and throughout their journey, their satisfaction increases. Further, every dollar collected upfront stays out of A/R and bad debt.

MD Clarity’s client base spans dozens of specialties. Recently, the employment platform Built-In recognized it as a Best Place to Work. 

G2 reviewers have given MD Clarity an average of 4.7 / 5 stars.   

MD Clarity features in common with Aroris Health

While MD Clarity and Aroris both optimize payer contracts and revenue recovery, they have distinct approaches. 

Aroris Health tackles the power imbalance between providers and payers by unleashing their experienced consultants on the provider’s behalf to negotiate better rates and fees. It supports these efforts with software. On the other hand, MD Clarity provides the data and insights via its software and turns the face-to-face negotiations over to the provider. 

When a physician group or MSO already has revenue cycle management professionals in place, they appreciate the performance and modeling expertise and automation loaded into their software. Of course, a software solution is far more affordable than using professional negotiators, many of whom are attorneys. 

Contract management

Both Aroris Health and MD Clarity contract management systems centralize and digitize contracts, providing important contract renewal and other date alerts. Both offer analysis features, which help providers discover the payers delivering the best terms and fees. Both also update contracts according to the changes that come in from payers (these notices can get lost easily in the mail room). Because payers often propose new changes on tight deadlines, awareness of these notices is critical. Most concerning are the payers’ changes to terms and fees, which almost always benefit them and not you. 

Contract modeling:  MD Clarity’s RevFind ingests historical data into a scenario modeling engine to project the impact of changes on revenue. Because payers can soft-sell their changes and try to get them through “under the radar,” awareness of their details can make all the difference. The data the software (and in Aroris Health’s case) consultant insights surface help providers back up their requests during negotiations with insurers. 

Underpayments: Underpayments are often overlooked due to the labor involved in tracking and addressing them, as well as the prioritization of denials. We are in a staffing shortage, after all. 

Both Aroris Health and MD Clarity use their contract management modules to identify payer underpayments. MD Clarity’s RevFind tool compares actual payments to payer contracts, alerts staff to discrepancies, measures contract performance, and analyzes denials. Staff can use payer portals to report underpayments, often without needing expensive specialists. 

Automated discovery works in real-time, alerting providers to trends for significant revenue recovery. RevFind also helps optimize the chargemaster and assigns tasks for appeals and investigations, centralizing work progress. It generates contract performance reports, aiding in better fee and term negotiations.

Take a quick, self-guided tour through a powerful contract performance optimization and underpayments recovery tool:

Denials Management: RevFind identifies the origins and categories of denials your organization faces, allowing you to address underlying issues and improve processes to prevent future denials. Detailed reports reveal specific codes and payers responsible, aiding your team in pinpointing and resolving factors leading to revenue losses.

Aroris Health uses a combination of software and expert consultants to help healthcare providers reduce denials and identify root causes. Their software transforms contract documents into visual databases, allowing for easy identification of discrepancies and opportunities. Consultants work alongside the software to review contracts, analyze denial patterns, and implement strategic improvements. This integrated approach helps providers address underlying issues, refine processes, and ultimately reduce the frequency of denials.

Patient payment or good faith estimates

Aroris Health does not have software that generates patient payment estimates automatically. Focused on optimizing provider revenue, MD Clarity’s Clarity Flow improves upfront payments and solutions for self-pay patients. 

MD Clarity’s Clarity Flow system excels in simplifying and automating patient pay estimates. This system automatically handles eligibility checks, generates customized estimate letters for different patient groups, dispatches estimates upon appointment booking, manages care deposit collections, and transfers collected funds to the organization’s account. Most processes are automated, eliminating the need for internal or external staff. Estimates flagged as exceptions are forwarded to the provider for manual processing, which typically involves only a few estimates each month.

This level of automation in eligibility and estimate generation minimizes repetitive tasks for staff and reduces the need for additional hires. Both improvements significantly alleviate the operational burden on healthcare organizations.

Ratings

MD Clarity has earned an average of 4.8 / 5 stars on G2. 

An Aroris Health competitor focused on health systems

Tribunus Health

Description

Like Aroris Health, competitor Tribunus Health provides unique payer contracting solutions that combine expert consulting with proprietary software. Tribunus Health’s services include managed care contracting, reimbursement management, enrollment assistance, and analytics. It targets healthcare providers such as substance abuse treatment centers, specialist groups, rural hospitals, and private equity-backed physician groups.

Tribunus Health provides detailed contract analyses in a comprehensive contract review to ensure providers establish favorable terms. It also identifies any opportunities the provider could have to enter new, more lucrative payer networks. 

Features Tribunus shares with Aroris Health

As with Aroris Health, Tribunus assigns its own experienced attorneys and other professionals to handle the contract negotiation if requested.  Before negotiations begin, however, Tribunus works closely with the healthcare organization to fashion value statements specific to each payer’s style and needs. Their combination of software and expert negotiators are engineered to optimize contracts, ensuring healthcare providers secure favorable reimbursement rates.

Tribunus prides itself on addressing challenges such as stale contracts and the complexities of going in-network for the first time.

Ratings

Tribunus Health has no reviews on G2, Capterra or others at this time. 

An Aroris Health competitor focused closely on contracts

PayrHealth

Description

As with Tribunus and Aroris, PayrHealth combines proprietary software and expert consulting services. Their payer contracting solutions include comprehensive contract reviews, contract language analysis, fee schedule analysis, and strategic market analysis. This integrated approach ensures healthcare providers can negotiate favorable contract terms, optimize reimbursement rates, and stay competitive in the market.

PayrHealth serves primary care physicians, specialist physicians, behavioral health providers, hospitals, ambulatory surgery centers, integrated delivery systems, and other healthcare entities. They cater to both small and large practices, ensuring that even new or smaller providers can benefit from the same resources typically available to large health systems.

Features PayrHealth shares with Aroris

PayrHealth’s approach integrates into healthcare practices, providing continuous support and regular updates, ensuring providers can focus more on patient care while improving their financial performance.

Like Aroris, they offer:

1. Comprehensive contract review:  to ensure providers are contracted with the right payers and products, tailored to their market needs.

2. Contract language analysis:  negotiation of contract terms to optimize claims adjudication and authorization requirements.

3. Fee schedule analysis: customized reviews based on the codes billed and their frequency.

4. Reimbursement rate increases: negotiations aimed to keep pace with inflation and future investments.

5. Market analysis: guiding providers through current market dynamics so they can leverage opportunities.

6. New payer plan negotiation: for establishing favorable baseline terms for new payer relationships.

Ratings

PayrHealth has no reviews on G2, Capterra or others at this time. 

An Aroris Health alternative that avoids negotiation

Symplr

Description

In addition to handling contract management, Symplr offers workforce and talent management, data management, and spend management. To ensure providers align their workforce with Symplr software, Symplr fashions pre-configured compliance workflows optimized for healthcare contracting. Facilitating third-party integrations via APIs makes it scalable from single clinics to large healthcare systems. Its contract analytics features identify and resolve downstream contracting and renewal challenges and uncover potential savings opportunities. Configurable templates and standardized terms speed the creation of new contracts, while renewal alerts keep providers within payer deadlines. Additional features like user permissions and time tracking help enforce contract governance. 

Features Symplr shares with Aroris

Symplr and Aroris both offer contract management solutions tailored for healthcare providers. That means both provide a centralized database for all contracts, contract uploading services with contract management, reporting, and compliance to follow set-up. Both also rely on analytics to reveal where providers can negotiate harder with payers for better revenue.  Both organizations prioritize their success in maintaining regulatory compliance for their clients. 

Where Symplr and Aroris differ

First, Aroris focuses only on the contract management, analytics and negotiation areas of healthcare administration. Symplr provides solutions for all healthcare operations, including workforce and talent management, data management, and spend management. Where Symplr is wide and shallow, Aroris is narrow and deep, staying focused on contract management and negotiation. Symplr also includes features for vendor management – solutions outside of Aroris’s purview.  Unlike Aroris, it does not provide consultants to conduct negotiations.

As contract management experts, Aroris, broadcasts its ability to deliver fully custom contract management solutions so that organizations can tailor the solution to their specific needs and workflows. Aroris’s robust analytics and reporting functionalities help organizations gain insights into contract performance and optimize contract negotiations. Where Symplr targets hospitals and health systems as clients, Aroris welcomes all levels of providers from individual practices to physician groups to large healthcare systems.

Choosing between Symplr and Aroris would depend on whether the healthcare specialization needs more: the flexibility and scalability Aroris offers or the broad management solutions that Symplr has developed. 

Rating

Symplr Contract has earned a score of 3.6 / 5 on Capterra. 

An Aroris Health alternative with more RCM features

Axiom Contract Management by Syntellis

Description

Syntellis offers healthcare contract management software that helps organizations efficiently manage payer contracts, claims, and payments. Their solution, Axiom Contract Management, leverages data to optimize provider revenue. These automated tools help achieve contract compliance, claims management, and denial analysis, while the consultants provide specialized insights and support to ensure accurate reimbursement and financial performance optimization. 

Axiom’s solutions serve healthcare providers such as hospitals, health systems, and medical groups, enabling them to maximize patient revenue, enhance financial performance, and improve operational efficiency.

Syntellis provides business services, not only to healthcare, but higher education, finance, and others. For the healthcare industry, it offers comprehensive operations and performance services including market opportunity analysis, clinical analytics, market reimbursement analysis, enterprise decision support, capital planning, budgeting, and forecasting. 

Within its performance improvement software suite, it offers comprehensive contract management which includes: 

• contract management to keep providers current with contract renewals and changes and ensure accurate claims submissions
• contract modeling: to build accurate payer contract models that convert proposed payer changes to actual impact to revenue
•  automated payer payment compliance and keep payers honest by monitoring the variance between actual payments and expected based on contract terms. 
•  analytics and reporting tools that provide actionable insights for optimizing financial performance.
• contract negotiation to ensure a contract expert fights successfully for your preferred fees and terms.
• denials analysis to help uncover the root causes of denials and quickly resolve denied claims and focus follow-up efforts on the highest value claims.

These features collectively address critical contract management tasks, including negotiation support, compliance monitoring, revenue optimization, and financial analysis, empowering healthcare providers to improve their operational efficiency and financial health.

Features Axiom Contract Management shares with Aroris

Like Aroris, Axiom Contract Management goes deep on contract modeling, management, and analysis for only the healthcare industry. Axiom, however, provides many more services that help optimize financial and operational tasks involved in healthcare. 

Where Axiom and Aroris differ

Where Axiom carries out contract management tasks through their software solutions, Aroris offers its consultants and experts to implement their software, build workflows, oversee contract changes, deadlines and more. 

Axiom Contract Management by Syntellis has no reviews on G2 or Capterra at this writing. 

How MD Clarity’s contract management solution optimizes your revenue

Effective contract management is a new endeavor for many practices, physician groups, and even MSOs. Encumbered by a dire staffing shortage, healthcare organizations have neglected their contracts. Just 58 percent review them yearly, according to MGMA. Sixteen percent review only every two to three years, and 17 percent never review their contracts. 

Contract negligence leaves you open to lower rates, eligibility errors often triggered when payers regularly change contracts often without provider approval), and compliance issues. All of these issues benefit payers. The time is now to get contracts under control and optimized. 

MD Clarity's RevFind automates contract management, enabling practices, physician groups, and MSOs to identify their best and worst payers, track payment trends, and detect payer underpayments. It digitizes and centralizes all agreements in one location and automates alerts for contract expiration, renewal, and exit dates, ensuring no missed deadlines. You can even configure it to notify you 90 days before these important dates to initiate negotiations early. It also automatically generates reports comparing reimbursements by CPT code and provider location. It includes Medicare benchmarks for an additional dimension of payer contract performance comparison.

RevFind scrutinizes each payment against the contract terms. Staff are alerted to discrepancies, allowing them to address improper reimbursements with payers. By identifying and addressing systemic root causes, future underpayments can be prevented.

Schedule a demo to see how RevFind catches payer underpayments, empowering you to pursue them. Get insights into payer contract performance so you can strengthen your contracts and boost net revenue.

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