PROVIDER PERFORMANCE MANAGEMENT

Performance you manage, not just measure

What every provider organization needs: ways to match patients to the right provider, tools that complement the EHR, credible patient panels for value-based care, and scorecards that turn metrics into action.

Provider performance dashboard with value-based care measures
  • Medical cost value, chronic$91 PMPM
  • Chronic patients seen this year80%
  • Visits with the Leap-attributed care team86%

VALUE-BASED CARE

Win in value-based care

Better outcomes. Better business. For health plans and the providers they rely on, value-based care pays off when priority patients reach the right provider and contract measures are tracked while there's still time to act.

  • HEDIS and Star Ratings quality gap closure
  • Risk adjustment accuracy and annual wellness visits
  • Medical cost management
  • Member and patient experience that lifts CAHPS performance
  • Top performers recognized, feeding performance and compensation
Quality and cost measures tracked through the year

PANELS & CAPACITY

Balanced panels. Full schedules.

Set visit targets and panel attributes for each provider, balancing access to and continuity of care with productivity goals. Leap shows where capacity goes unused and where patients can’t get in.

  • Panel types configured around your clinical and operating model
  • Patient cohorts ranked per panel, so capacity goes to patients who need it most
  • Base and flex capacity managed from patient-seen metrics
  • Third-next-available access and growth forecasts matched to staffing
Provider panels and open capacity by location

PATIENT ATTRIBUTION

Patient panels your providers believe in

A configurable rules engine matches both sides of the relationship: who the patient is and what they need, and who the provider is and what they can take on. The corrected view goes back to the health plan, so both sides manage value-based contracts off the same panels.

  • User-defined and ML rules
  • Patient attributes: language, gender, health status and care needs
  • Provider attributes: specialty, location, capacity and performance
  • Experience data informs the matching
  • Audit history for every patient-level assignment
Patient-to-provider attribution rules in Leap

PROVIDER 360

A provider registry built for engagement and performance

EHR and billing systems keep provider data for claims and scheduling. Provider 360 picks up where they stop: every provider, care team and facility, feeding attribution, engagement, operations and your digital front door.

  • A dedicated provider registry, synced with your EHR, billing and credentialing systems
  • Provider database maintained through a simple interface, with updates flowing everywhere it's used
  • Provider backgrounds, photos, specialties, languages and locations published to your website and directory, the details patients use to choose a provider
Provider profile with specialties, languages and locations

SCORECARDS & PERFORMANCE ANALYTICS

Scorecards your teams trust and act on

Build scorecards around your contracts and operating model, with metrics payers and providers both rely on. Then go beyond measuring: see where each provider and location can improve, and what to do next.

  • Scorecard builder: metrics, KPIs, credit, periods and targets, all set in the product
  • Every KPI inspected before it goes live, down to the patient, so payers and providers stand behind the numbers
  • Performance analytics that pinpoint actionable improvement opportunities
Provider scorecard with measures trending over the year