Philadelphia —
Insight’s workforce performance topic, with its real-time analytics capabilities, identifies departmental and individual employee provider workforce performance activities. This includes workflow volumes, workflow cycle times, task completion times, work distribution and assignment, and resource performance for optimizing efficiency. All of these capabilities allow for the proactive management of a health plan’s provider management resources, which lead to more efficient provider services and ultimately greater provider satisfaction with the given health plan.
Portico’s Insight also delivers analytic capabilities that enable a health plan to have actionable provider network intelligence. Insight’s network intelligence topic allows a health plan, in real-time, to understand their provider network composition. Health plans can analyze provider networks by multi-dimensional attributes, such as geography, specialty and status to quickly understand the composition of networks. All of these capabilities enable a health plan to be more flexible in terms of provider recruiting and provider relations, and allows for a more streamlined effort to offer new products to its members, claims Portico.
“Every health plan is overloaded by the provider data it has to process every day,” says Mike Flanagan, VP of products and marketing at Portico Systems, Blue Bell, Pa. “Payers can now harness this data to identify hidden opportunities to improve performance—whether it’s increasing employee efficiency in the credentialing department or identifying geographical areas where more specialists are required to meet member needs. Portico Insight helps health plans ask the right questions—and turn answers into action.”
Source: Portico Systems
