Data Metrics for Preparation and Participation: The New Age of Healthcare Reimbursement

Healthcare reimbursement is increasingly moving towards a payment model based on Triple Aim goals - quality, total cost of care, and patient experience. These goals require different metrics from the volume-based systems of today, including analysis of external reports. Some health centers already have some of this data, but tying it to pay-for-performance payments is often difficult. This session will cover the basics of these metrics, including definitions for cost, utilization, quality, and engagement metrics.

• Identify key metrics to track in a pay-for-performance environment.
• Review data sources for metrics.
• Understand the meaning of "metrics" and how health center behavior may influence them.