
Its no secret that billions of dollars are spent each year on care management programs. Healthcare leaders concede that these initiatives add value.
PROFormance is designed to support suppliers of care management programs including employers, health plan payers and care management companies.
PROFormance is among the industry's first stand-alone, commercially available ROI analysis and reporting application, enabling health plans and care management program suppliers to perform consistent reporting of financial, operational and clinical metrics. The application has the unique functionality to identify the Gaps in Care for user-defined clinical conditions. The flexible application uses a dynamic and continuously updated data warehouse, giving end-users access to a variety of methodologies and comparison groups, including the most-frequently encountered DMAA guidelines.
PROFormance is designed to address:
PROFormance supplies:
Features and Functionality
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Enhancing the credibility of calculated financial savings results
Understanding the underlying assumptions
and methods that have been employed in
the calculations
Comparing results between different programs and suppliers
Determining whether calculations comply
with DMAA guidelines and other industry
best practices
Obtaining necessary audit trail information for a calculated result
Cost effective auditing or reproducing a vendor's calculated results
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PROFormance calculations have been tested and validated, so that users can have confidence in the results. A standard audit trail is provided to allow users to replicate results easily from initial input
PROFormance provides a logical walk-through of all key assumptions, which are documented in the resulting report
Once data are loaded into PROFormance, running comparisons between programs and populations is straightforward. The PROFormance process ensures that the same methods and assumptions are applied to all populations and data
Although PROFormance is flexible and can support multiple methodologies, if required the pritecy methodology supported is consistent with DMAA's guidelines, the most-frequently used methodology in the industry
PROFormance automatically generates an audit trail,
enabling follow-up and validation of results
PROFormance may be used with any dataset to
replicate or validate reported results
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Showcases the use of an analytics model as a powerful tool to evaluate the financial effects of wellness programs
SCIOinspire announces Version 2.0 of its PROFormance care management reporting application