Continuum of Care Analysis™
Measures physician utilization performance across all care settings on a per patient basis including: physician office charge, hospital inpatient charge, hospital outpatient charge, miscellaneous facilities charge, retail pharmacy charge, other charges, and total bundled charge. Provides departmental charges per episode, as well as procedure and prescription drug detail. Measures charge per episode by physician, major practice category, episode treatment group, health plan/employer, and hospital.
“We are positioning ourselves for more capitated reimbursement from HMOs which have already penetrated about 25% of the market. Managing cost and ensuring quality of care under capitation necessitates the use of advanced medical management analytics, such as CarePoints Continuum of Care Analysis, which enables us to link medical costs across all care settings.”
Health System Development
Partners Community Healthcare, Inc. is a network of primary care physicians affiliated with Partners HealthCare System. Partners was founded by two Harvard teaching hospitals—Massachusetts General Hospital and Brigham and Women’s Hospital. Partners’ physicians care for 1.2 million insured patients and Partners negotiates contracts on behalf of over 3,000 doctors.