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PLATFORMS

PERFORM+

End-to-end solution for provider performance management

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PERFORM+ Performance Analytics

PERFORM+: Overview

With increasing pressure due to value-based contracts, greater focus on population health programs and regulatory initiatives, healthcare providers and payers have been using highly fragmented approaches to manage their diversified list of providers. This poses significant coordination challenges, increases provider abrasion and create a high degree of inefficiency across the provider network. Health plans and providers need a centralized mechanism to set-up and manage provider performance, goals, incentives and oversight with advanced analytics to guide their performance journey.

 CitiusTech’s PERFORM+ is a highly configurable, end-to-end solution that helps health plans and provider groups to monitor and enhance provider performance. It includes pre-built KPIs and analytics across clinical quality, financial, operational and utilization measures, giving users a unified view of all programs, processes and performance measures.

PERFORM+: Advantage

PERFORM+ empowers you to transform provider network management by giving you unmatched oversight across all your key processes and performance measures.

PERFORM  Unified View

Unified View

Centralized monitoring of networks as per their unique requirements, on a single consolidated platform

PERFORM  Self-service Capability

Self-service Capability

Feature-rich self-service portal, allowing providers to manage their own gaps and metrics .

PERFORM  Scalability

Scalability

Cloud-based deployment giving organizations a robust, scalable strategy for increased network.

PERFORM  Lower Provider Abrasion

Lower Provider Abrasion

Significant reduction in provider abrasion due to better provider engagement.

PERFORM  Process Efficiencies

Process Efficiencies

Optimal design of care management processes and automated data sharing between entities.

PERFORM  Network Collaboration

Network Collaboration

Enabling active collaboration and seamless data sharing between providers and payers.

PERFORM  Unified View

Unified View

Centralized monitoring of networks as per their unique requirements, on a single consolidated platform

PERFORM  Self-service Capability

Self-service Capability

Feature-rich self-service portal, allowing providers to manage their own gaps and metrics .

PERFORM  Scalability

Scalability

Cloud-based deployment giving organizations a robust, scalable strategy for increased network.

PERFORM  Lower Provider Abrasion

Lower Provider Abrasion

Significant reduction in provider abrasion due to better provider engagement.

PERFORM  Process Efficiencies

Process Efficiencies

Optimal design of care management processes and automated data sharing between entities.

PERFORM  Network Collaboration

Network Collaboration

Enabling active collaboration and seamless data sharing between providers and payers.

PERFORM+: Core Modules

The PERFORM+ solution gives health plans and provider groups the flexibility to create, manage and monitor their provider networks. 

Program Setup

Highly configurable module that enables network management teams to Implement the management framework as a program.

Program Configuration

Configure Incentive Programs for a variety of regulatory, value-based or contractual agreements

Cohort Selection

Ability to target a specific cohort for performance management at any part of the program

Measure Selection

Extensive library of 750+ measures spanning across quality, utilization, operational, financial and risk-based measures

Rules Management Module

Dashboard feature to self-build metrics and edit existing metrics, supporting quality, utilization, operational, financial and risk-based rules

Program Configuration

Configure Incentive Programs for a variety of regulatory, value-based or contractual agreements

Cohort Selection

Ability to target a specific cohort for performance management at any part of the program

Measure Selection

Extensive library of 750+ measures spanning across quality, utilization, operational, financial and risk-based measures

Rules Management Module

Dashboard feature to self-build metrics and edit existing metrics, supporting quality, utilization, operational, financial and risk-based rules

Performance Analytics

Pre-built, customizable dashboards and scorecards to analyze provider performance across multiple parameters, and utilize findings to design future programs.

Provider Performance Summary

Detailed scorecards and pre-configured dashboards for better visibility and collaborative tracking of progress

KPI Dashboards

Ability to drill-down to specific areas of improvement and narrow down the target population for optimization

Actionable Lists

Pre-configured, editable provider and member lists which help you take necessary action

Audit360

Strong audit features with the ability to drill down and troubleshoot issues within the metrics configuration

Provider Performance Summary

Detailed scorecards and pre-configured dashboards for better visibility and collaborative tracking of progress

KPI Dashboards

Ability to drill-down to specific areas of improvement and narrow down the target population for optimization

Actionable Lists

Pre-configured, editable provider and member lists which help you take necessary action

Audit360

Strong audit features with the ability to drill down and troubleshoot issues within the metrics configuration

Stakeholder Engagement

Scorecards, prioritized task lists, provider self-service capabilities and configurable workflows - to improve engagement with providers and internal stakeholders.

Configurable Alerts

Push notifications to respective providers for performance enhancements

End-user Workflows

Ability to identify and close gaps in care, using ready interfaces, directly by the end users

Campaign Management

Easy closing of gaps and detailed dashboard to reflect true provider performance

Incentive Calculation

Centralized aggregation of provider information including task completion, gap closure and incentives

Configurable Alerts

Push notifications to respective providers for performance enhancements

End-user Workflows

Ability to identify and close gaps in care, using ready interfaces, directly by the end users

Campaign Management

Easy closing of gaps and detailed dashboard to reflect true provider performance

Incentive Calculation

Centralized aggregation of provider information including task completion, gap closure and incentives

Request a demo

Get to know more about the product we offer. We are glad to help you.

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* As per regulation § 170.523(k)(1)(iii) of the ONC 2015 Edition Final Rule, the Cost and Limitations and Product Information Statement for BI-Clinical can be found here:  BI-Clinical 18.4, BI-Clinical 18.11, BI-Clinical 2020.1904 , BI-Clinical_BIC2021

*HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA)