Physician Scorecards

• 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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