Technology Tools

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Our Network Performance Tool is a designed to help plans evaluate network performance where no previous experience exists as well as review existing market level performance.  The application uses AHD Hospital data for the geographic area being analyzed in conjunction with physician/ancillary provider counts to allocate medical spend across the network. Medicare utilization for each facility is used as a benchmark.  Market level research is performed to account for differences in utilization by product offering and line of business.

  • Key components include:
  • Plan Market Level Data
  • IP/OP Facility analysis and modeling
  • Physician/Ancillary analysis and modeling
  • Summary of Financial Performance
  • Executive Summary of Key reporting metrics
Market profitability assessments are made using robust modeling based on pre-populated, market-specific data.  Each assessment can be customized for any network project and/or line of business (Commerical, Medicare, TRICARE, Medicaid) with the flexibility to model the bottom-line impact of all key variables.

Glenridge clients access the tool online so that they can model various scenarios at anytime, from anywhere.  All that is needed is an internet connection.