Leveraging claims data, FHG will map the potential clinical data “results” range across your clinical network. Objective data and counts will inform the boundaries of the possible yield of clinical metrics (e.g., to support HEDIS measures).

Overview

  • From HCCs to gaps in care, from PMPM to quality reporting, the Member Care Journey spotlights the improvement opportunities for every Member across every care setting.

  • Quantify the aggregate Member flow in/out of a given delivery system or network, revealing the count of Members, sum of dollars, types of procedures, etc.

  • The aggregate view of all Member journeys reveals your clinical network’s overall performance and behavior, allowing you to create an optimal network that maximizes access for your members while improving your financial performance.