The Population Value application analyzes and categorizes claims data to monitor per member per month (PMPM) expenditures to support cost management for ACO populations. The tool identifies in- and out-of-network expenditures (leakage), as well as identifies trends in expenditure categories, such as inpatient, physician, DME, imaging, etc. Drill down capabilities at the practice, provider and patient level enable focused efforts on cost drivers and overall PMPM performance. The solution leverages claims data so ACOs can improve their financial performance against benchmark goals and targets.
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