Offering a path to more affordable healthcare for both plans and patients.
In a system under pressure to deliver more value with fewer resources, PI benchmarks uncover hidden inefficiencies and enable proactive cost containment.
Forging the way to affect industry change through transparency and accountability.
A common language for performance measurement enables more effective conversations among plans, vendor partners, and providers.
Optimizing the value and ROI of payment integrity programs.
PI standards highlight opportunities to improve PI operations, measurement, investments – and ultimately outcomes.
Taking part in the process:
Collaboration is critical for progress – and momentum is building.
A Working Group of 12-15 operational and financial PI experts with 200+ combined years of experience are creating standards and benchmarking guidance and support.
Over 20 health plans are engaged in an iterative process to provide feedback on the guidance.
Kisaco Research, an independent research firm and creator of the HPRI series, is leading the initiative.
Process
Get Involved
What is the latest guidance on how to define Savings PMPM? How do we propose calculating pre-pay savings? Provide feedback through:
Updates
Learn about our proposed guidance and provide feedback by joining monthly update calls. Next one is June 5, 2pm EST.
Community
Join the PI Standards & Benchmarks LinkedIn group for updates, discussions, and networking.
Support
Guidance from Working Group analytics experts on how to apply standards and re-think metrics and reporting.
Progress
Attend HPRI Chicago for exclusive new insights and best practices including a panel discussion with the Working Group.