PHP Performance - FL
Overview
Metrics Definitions
NPS
Measures the patient’s experience through Net Promoter Score (NPS) surveys, with the goal of optimizing patient satisfaction and loyalty.
Numerator: Total NPS scores of survey responses from patients seen by the provider
Denominator: Total number of survey responses from patients seen
Tabs Overview
Executive Summary
Metrics are broken down by the three sub-tabs: Member Counts, Allowed Amounts, and Claims by Service Category. Member Counts and Allowed Amounts can be separated by the following dimensions:
Financial Region
Attributed Facility
PHP Cohort
PHP Care Continuum
PHP Chronic Ind
Member Type
FLBL Seen Status
Sanitas Seen Status
Member Counts metrics included are:
Average Members by Month and Dimension
Average Members Ranked by Dimension
Average Members Trend by Dimension
Allowed Amounts metrics include:
Average Allowed Amount by Month and Dimension
Average Allowed Amount Ranked by Dimension
Average Allowed Amount Trend by Dimension
Average Allowed Amount (Capped) Ranked by Dimension
Average Allowed Amount (Capped) Trend by Dimension
Claims by Service Category include:
Average Claims PMPM by Month and Service Category
Average Claims PMPM Trend by Service Category
Claims per Thousand by Month and Service Category
Claims per Thousand Trend by Month and Service Category
ER Claims
Metrics are filtered by these dimensions:
Financial Region
Attributed Facility
PHP Cohort
PHP Care Continuum
PHP Chronic Ind
Member Type
FLBL Seen Status
Sanitas Seen Status
Metrics included are:
ER Claim Details by Month
ER Claims Trend
ER Claim Details by Month and Dimension
ER Claims PMPM Ranked by Dimension
ER Claims Trend by Dimension
ER Claims per Thousand Ranked by Dimension
ER Claims per Thousand Trend by Dimension
Inpatient Claims
Metrics included are:
Inpatient Claim Details by Month
Inpatient Claims Trend
Inpatient Claim Details by Month and Dimension
Inpatient Claims PMPM Ranked by Dimension
Inpatient Claims PMPM Trend by Dimension
Inpatient Other Claims PMPM per Thousand Ranked by Dimension
Inpatient Other Claims PMPM per Thousand Trend by Dimension
Inpatient Claims per Thousand Ranked by Dimension
Inpatient Claims per Thousand Trend by Dimension
Inpatient Other Claims per Thousand Ranked by Dimension
Inpatient Other Claims per Thousand Trend by Dimension
Outpatient Claims
Metrics included are:
Outpatient Claim Details by Month
Outpatient Claims Trend
Outpatient Claim Details by Month and Dimension
Outpatient Claims PMPM Ranked by Dimension
Outpatient Claims PMPM Trend by Dimension
Outpatient Other Claims per Thousand Ranked by Dimension
Outpatient Other Claims per Thousand Trend by Dimension
Rx Claims
Metrics included are:
Rx Claim Details by Month
Rx Claims Trend
Rx Claim Details by Month and Dimension
Brand Rx Claims PMPM Ranked by Dimension
Brand Rx Claims PMPM Trend by Dimension
Generic Rx Claims PMPM Ranked by Dimension
Generic Rx Claims PMPM Trend by Dimension
Special Rx Claims PMPM Ranked by Dimension
Special Rx Claims PMPM Trend by Dimension
Brand Rx Claims per Thousand Ranked by Dimension
Brand Rx Claims per Thousand Trend by Dimension
Generic Rx Claims per Thousand Ranked by Dimension
Generic Rx Claims per Thousand Trend by Dimension
Special Rx Claims per Thousand Ranked by Dimension
Special Rx Claims per Thousand Trend by Dimension
Last updated