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SHPBN-2018-034 Provider Analytics Enhancements

Date: 12/26/18

Your Pay-for-Performance, Cost and Utilization Reporting Tool

The enhanced Provider Analytics solution on the Sunflower Provider Portal now includes peer group risk-adjusted cost and utilization data for Sunflower's Kansas Medicaid. This functionality will be available for Allwell and Ambetter in late January 2019.

Enhancements include:

  • Summary page with graphical view of PMPM cost and utilization data
  • Patient engagement analysis to understand patient preferences and utilization of primary care services, based on claims history
  • Emergency Department reporting including patients seen in the past 90 days, top unmanaged conditions, disease states, and total visits
  • Member-level drill down and export for insights into outreach opportunities
  • Refreshed monthly to ensure current and actionable data

Log in today and explore Provider Analytics to discover how it can benefit your practice! Contact your Provider Network Specialist with questions.