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Guest nornelas
Posted

I am interested in finding out what reporting metrics other employers ask of their health plans for HMO, POS, PPO, alternative funding arrangements, etc. (For example do metrics include claims experience, utilization, benchmarks to other like size groups, MLR, etc) Do you have examples of reports you can share? How often do you recieve reports and in what format?

Thanks in Advance!

  • 2 weeks later...
Posted

I was hoping that someone would have responded so that I would not have to ask, What is a reporting matrix or matrices?

Is the attached an example of what you mean?

George D. Burns

Cost Reduction Strategies

Burns and Associates, Inc

www.costreductionstrategies.com(under construction)

www.employeebenefitsstrategies.com(under construction)

Posted

I was hoping that someone would have responded by now so that I would not have to ask, What do you mean by reporting matrix or matrices??

George D. Burns

Cost Reduction Strategies

Burns and Associates, Inc

www.costreductionstrategies.com(under construction)

www.employeebenefitsstrategies.com(under construction)

Guest nornelas
Posted

When I stated "reporting metrics" I wanted to know what types of standard data ---numbers, measures, in addition how does this differ based on different product types from healthplans. Does that help clarify?

The example that was sent was very helpful. Thanks again!

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