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PRODUCTS

PERFORM+ Contracts

Get unmatched oversight across all your contracts and performance measures

PERFORM Contracts - Stakeholder Engagement

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 set of value-based contracts with providers. This poses significant coordination challenges, increases provider abrasion and create a high degree of inefficiency across the provider network.

PERFORM+ Contracts provides organizations a centralized mechanism to manage provider performance, goals and incentives across multiple quality programs. It helps organizations address coordination challenges, reduce provider abrasion and create a high degree of efficiency across the provider network..

PERFORM+ Contracts: Advantage

PERFORM+ Contracts empowers you to transform provider network management by giving you unmatched oversight across all your contracts, 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+ Contracts

Unified strategy for efficient management of providers, across value-based contracts, population health and regulatory programs

PERFORM+ Contracts: Key Components

PERFORM+ Contracts 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 650+ 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 650+ 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)