Marketscape Strategy Idea Center
Please add a percentage column to the MA table to show what percentage of a provider's population is served by the named payor.
Using Physician Analyze example, the percentage column would be next to patient count for each contract
Customer needs to know... Dr Boulware has 300 MA patients,
30% belong to contract # 1
25% belong to contract # 2
15% belong to contract # 3
Idea Center Question/Checklist |
Response |
Is this a product enhancement/web, data adjustment, or new metric? |
Metric |
Name and description of metric. |
Hospice, SNF & HHA : Risk-Adjusted 60 Day Readmission Rate |
Who would use this (New or Current MSSPs or DCE's, physician group, health plan, specific client, etc.)? |
PACs |
Who's requesting this (internal idea or specific client)? |
Joanna Horst - Bayada |
What is the client trying to solve? What is the problem they are facing? |
Adjusting to a regulatory change made around post acute care and value based purchasing |
Why do they need this? |
Client needs to see longer term data around readmissions |
Do we have a form of this today (readmission rate vs risk adj, is it in Marketscape)? |
Yes - 30 day rate |
What benefits would this bring? (i.e. Enhance performance, Customer Retention/Value, New Business, New Industry/Market, Competitive Differentiator, etc.) |
Client retention and wider look at readmission for PACs |
What provider types need this metric (Physicians, Hospitals, ACO's, etc.)? |
PACs -SNF, HHA, Hospice |
Where does this data need to be reflected in the product (Explore, Analyze, etc.)? |
Explore |
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.) |
FFS metric |
What timeframe of data do they need - date range and type of data (latest complete performance year, rolling 12 months, quarterly, etc)? |
FFS - last 12 months |
Does this metric need to be risk adjusted, unadjusted, or both? |
Risk adjusted |
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)? |
Current metric for 30 day exists, client just wants same data over 60 day period |
Are there any exceptions (Exclude ACO's not active in 2018, providers no longer active, etc.)? |
none other than what is used for existing 30day |
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)? |
|
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.)? |
Client retention |
Is this a high, medium, low priority (must have, compliance requirement, etc.)? |
Low |
Is there a defined date when this is needed by? |
|
Additional Notes: |
