Gain a rich, comprehensive view of your performance across the continuum of care.
The application dashboard provides summary-level statistics highlighting PMPM payment trends over time and against target rates—and also supports deeper analysis of the providers, members, specialties, care processes, procedures, and diagnoses that are the greatest contributors to PMPM performance within each contract.
Identify and quantify potential opportunities for improvement.
The application allows you to investigate expenditures and determine in-and out-of-network costs to identify leakage by physician, patient, claim type, or facility. You’re able to identify potential savings from specific efforts to eliminate waste via standardization, reduce leakage, or improve outreach to high-cost patients.
Reduce financial risk.
PMPM Analyzer allows you to identify high-utilization patients and diagnostic groups and use trends to predict future needs—information that can guide improvement work and help your organization manage risk.
Achieve faster time to value.
PMPM Analyzer eliminates the burden of manually scrubbing and analyzing claims-based files and can refresh these files as quickly as 24 hours after receipt.