pmpm Consulting Group Inc.


 

Data Analysis, Performance Reports and Action Plans

We utilize analytical techniques to review data and reach evidence-based conclusions regarding the performance of client operations. We have state-of-the-art data technology and comparison data that allows us to drill down and establish effective information reporting tools. Utilizing the data in these reports, we work with management personnel and provides to construct specific strategies for achieving improved performance.

pmpm® analyses extend to healthcare administration, revenue recovery, shared-risk distribution and capitation models, including IBNR factors. Functionally, we collect and process claims data, array data in detail, display service and utilization rates at the aggregate and provider specific level, as well as at the diagnostic and procedure code level, and track performance agains industry standards.

Once data adjustments and assessments are complete, we develop health service fund reports and specific analyses. Our recommendations for corrective action benchmark the client in the industry and provide a sound basis for decision making.