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Real Answers - Genesys PHO

Get Real Answers

Genesys PHO's Real Answers Data Reporting Service is committed to improving patient outcomes by providing clear, comprehensive information about your healthcare organization. Our niche focus on Provider Organization data drove us to develop a comprehensive suite of performance tracking tools for Healthcare leaders. The Real Answers Healthcare Data Reporting suite leverages data into actionable insights to help each client organization understand local, regional, and national trends compared to their current financial benchmarks, medical utilization, panel metrics, population health, and total costs of care.

This downloadable PDF offers key insights into the services and support available.

The Problems

  • You have invested in getting solid data, but have been unable to easily get to actionable insights through reporting.

  • Your incentive programs require disease management by diagnosis grouping but it’s difficult to manage effectively.

  • PCP incentives from health plans seem to be decreasing every year or have targets which are increasingly difficult to manage.

  • Your providers are struggling to manage total cost of care and you need PCP level reports which help them to understand where the dollars are spent.

The Solutions

  • Our Financial Dashboard brings clarity to your panel attribution changes, the strength of your network and allows your team to focus on the solutions rather than the problems.

  • Our Risk Adjusted PCP level reporting helps your providers to identify where their total cost of care is spent, where services are more expensive and less effective for their patients, and reveal insights to help patients avoid unnecessary ED and IP Costs.

  • We tailor incentive reporting and a PCP incentive payout structure to directly address your most impactful incentive programs. Monthly tracking of these elements will help you keep each provider focused on the target without overwhelming them in data and reports from each health plan.

  • We can risk stratify your entire population and provide patient lists by PCP. Our disease state flags allow us to easily label each population and display individual patient risk scores relative to the panel.

Our Services

Full Report Suite

We offer a full report suite with actionable information delivered monthly to our clients for less than the cost of a dedicated analyst.

Customized Reporting

Our reports can be selected as à la carte options. Pick only the items your organization needs for efficiency and maximized productivity.

Strategic Insight Reports

Annual strategic insight reports focus on the “hot spots” to be addressed in the coming year and celebrate the success of the current year.

Reported KPI's

% ED Admits
% Eligible for CM
% High Spend Patients
% IN Network Referrals
% In Risk Contracts
% Patients with Visit
% Referred to Care Management
% With Visit
Admits per 1,000
After Hours Cases/Costs
After Hours Visits per 1,000
All Cause 30 Day Readmission Rate
Ambulatory Surgery Cases/Costs
Attributed Patients
Average Panel Size
Average Risk
Avg Patient Distance from Affiliated Hospital
Categorized Claims/Costs
Categorized Inpatient Admission Cases/Costs
Cost Performance Index
ED Visits per 1,000
ED Visits/Costs
Follow-Up in 7 Days
Health System % Of Admits
Health System % Of ED
Panel Size
Patients Per PCP
PBPY
PMPM- Total, Expected, Risk Adjusted
Quality Performance Index
Relative Risk
Risk Membership
Total Performance Score
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