Many Home Health NPIs are registered in one county but serve patients in many counties. Users looking for agencies in a particular market may miss some agencies because they are limited to searching by the county in which the agency is registered in the NPPES registry.
- Similar to the Beneficiary filter (on roadmap) however, user wants to know where the benes are being referred from
Idea Center Question/Checklist |
Responses |
Is this a product enhancement/web, data adjustment, or new metric? |
Enhancement |
Name and description of metric. |
N/a |
Who would use this (New or Current MSSPs or DCE's, physician group, health plan, specific client, etc.)? |
Post acute groups - for market evaluation |
Who's requesting this (internal idea or specific client)? |
Health Pro Heritage |
What is the client trying to solve? What is the problem they are facing? |
Market analysis - wanting to partner with PACs and needing additional info regarding patient population. |
Why do they need this? |
Similar to the need for data around patient flow |
Do we have a form of this today (readmission rate vs risk adj, is it in Marketscape)? |
Currently available in Marketscape and called "Market Share" |
What benefits would this bring? (i.e. Enhance performance, Customer Retention/Value, New Business, New Industry/Market, Competitive Differentiator, etc.) |
|
What provider types need this metric (Physicians, Hospitals, ACO's, etc.)? |
PAC and PAC affiliated |
Where does this data need to be reflected in the product (Explore, Analyze, etc.)? |
Maybe Analyze or as an explore filter (this will not be as dynamic) |
What patient population should this be for (All FFS, Attributed to current ACO/DCE, Assigned bene's to an ACO or DCE, Attributed to new ACO/DCE, DCE population, etc.) |
Patients that are being treated at PAC facilities |
What timeframe of data do they need - date range and type of data (latest complete performance year, rolling 12 months, quarterly, etc)? |
Current day market share uses quarterly data |
Does this metric need to be risk adjusted, unadjusted, or both? |
N/a |
Are there assumptions we should account for (i.e. For metrics that cross over years 2019 Assigned and 2020 Assigned Bene's to respective Quarters)? |
This request likely stems from users familiarity with Market Share (will evaluate what is available in MAR currently to move forward) |
Are there any exceptions (Exclude ACO's not active in 2018, providers no longer active, etc.)? |
n/a |
Indicate how to handle values where there is insufficient data or PHI (exclude all providers with <11 readmissions or replace all <11 with avg readmission rate)? |
Suppressed data is shows currently for market share |
If going in explore, what EAV category tag should this show up under? |
n/a |
What is the impact of not doing this (client retention, lose a sale, etc.)? |
This is part of the reason the client has kept their access to a separate analytics platform (potentially noted in the gong video) |
Is this a high, medium, low priority (must have, compliance requirement, etc.)? |
Low/medium |
Is there a defined date when this is needed by? |
N/a |
Additional Notes: |