Spearheading standards for more affordable healthcare.
In a system under crisis to reduce costs, benchmarks reveal hidden inefficiencies and enable proactive cost containment.
Strengthening the National Value Story to drive better health outcomes.
Uniformity in approach to payment integrity creates a measurable impact on healthcare cost and quality.
Forging industry change through transparency and accountability.
A common language for performance measurement enables more effective conversations among plans, clients, vendor partners, and providers.
Taking part in the process:
8/10
Largest National Health Plans
10
Blues Plans
9/10
Leading Vendors
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 30 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.
Standard Definitions & Benchmarking Guidance
To access the Industry Directory of PI Programs (Medical), click below:
To access the Savings PMPM Calculation Deck, click below:
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.
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 Dallas for exclusive new insights and best practices including share-out of first savings PMPM benchmarks.