Difference between revisions of "Physician Scorecards"
From PatientRecovery
| Line 8: | Line 8: | ||
* Patient Predictive Analytics (i.e., ER in 3 months) | * Patient Predictive Analytics (i.e., ER in 3 months) | ||
* Patient Per-Member-Per-Month (PMPM) | * Patient Per-Member-Per-Month (PMPM) | ||
| − | * Leakage (referrals, poorly managed patients in competitors ER, Inpatient) | + | * [[Network Integrity|Leakage]] - (referrals, poorly managed patients in competitors ER, Inpatient) |
* Ambulatory Care Sensitive Admissions or ER Visits | * Ambulatory Care Sensitive Admissions or ER Visits | ||
* Generic vs. Brand Name drugs | * Generic vs. Brand Name drugs | ||
Latest revision as of 14:56, 19 February 2019
- Care Variations
- Surgery
- Inpatient Admissions
- Episode Treatment Groups (ETGs) Performance
- Advanced BPCI
- Patient Risk Adjustment
- HCCs – Suspect HCCs and Dropped HCCs
- Patient Predictive Analytics (i.e., ER in 3 months)
- Patient Per-Member-Per-Month (PMPM)
- Leakage - (referrals, poorly managed patients in competitors ER, Inpatient)
- Ambulatory Care Sensitive Admissions or ER Visits
- Generic vs. Brand Name drugs
- Site of Services
- Choosing Wisely Diagnostic Tests and Treatments
- Care Gaps and HEDIS Measures
- Medicare Advantage Incentives Opportunities (i.e., $200 per patient vs. $500)
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