Outcomes and insights products for providers

In an era of increasing outcomes transparency, providers must create and demonstrate both clinical and economic value in comparison to available alternatives.

These complicating factors require rigorous and consistent analytic approaches. PotentiaMetrics works as a trusted third-party to cross traditional boundaries to develop multi-institutional, real-world data registries which enables the company to develop unique analytic solutions and provide third party administrative solutions.

To do this requires volumes of reliable and relevant benchmarking data. Access to trusted information, however, is a substantial challenge. Even when information is available, a true comparative analysis of outcomes still requires adjusting for risk factors such as differences in patient populations, co-morbidities, and complexity of procedures.

We help providers:

Capture, Integrate Data to Enhance the Evidence

  • Leverage existing data assets to provide value and new insights for participating institutions
  • Proprietary access to Individual-level, real-world evidence (RWE)
  • Unique longitudinal patient reported outcomes tools (PRO) data capture, functioning, quality of life
  • Agreements to gather and incorporate continuous data from multiple providers
  • Large enough samples to uncover insights into treatment and individual outcomes
  • Employing data science to uncover insights
  • Personalized and predictive insights, derived from externally-validated, proprietary economic platforms
  • Comparative effectiveness research (CER) outcomes and costs by procedure, provider
  • Risk-adjusted outcomes and costs by procedure, provider, performance transparency
  • Member population analysis, market identification
  • Identify cost for care across the continuum and its drivers

Outcomes Measures, Incentive Design, Reporting

  • Next generation outcomes metrics, beyond adherence
  • Health risk stratification
  • Risk-adjusted outcomes information for Comparative Effectiveness & QA/QI Quality Improvement (QI)
  • Support value-based care, at-risk contract metrics determination
  • Outcomes-based compensation, incentives tied to individual outcomes not limited to compliance/adherence
  • Longitudinal outcomes tracking
  • Precision performance metrics, survival, clinical response, events of interest, resource utilization
  • Nuanced, risk-stratified outcomes reporting
  • Outcomes reported by an independent party with requisite clinical expertise and genuine objectivity
  • Outcomes-based reporting, adjudication, compensation

Cultivation of Learning Systems

  • Uncover personalized insights, Identification of various sub-populations with different needs
  • Predict high risk patients and avoid high cost events
  • Support informed, shared-decision making, personalized treatment, improved adherence, outcomes
  • Tools and platforms that enable collaboration across providers, patients and payers
  • Reduce procedures, claims paid, complications, improved management of end of life care
  • Increase patient and provider satisfaction
  • Benchmarking, risk adjusted clinical & economic outcomes, volumes and other key metrics
  • Support for patient safety, quality Improvement efforts and needs of clinicians
  • Improve target price under bundled payments

Support Healthcare Reform

  • Healthcare reform, innovation including outcomes and price transparency
  • Meet Value Based Care (VBC) requirements
  • Merit-based Incentive Payment System (MIPS), Measure Development Plan (MDP), Advanced Alternative Payment Models (APMs)
  • Bundled payment management
  • Coordination of information across boundaries to share care, accountability & risk