Processes

What will AGI do for Conduct provider performance management?

A scheduled review cycle initiates or a specific cost or quality anomaly flags a provider for evaluation.

Trigger
A scheduled review cycle initiates or a specific cost or quality anomaly flags a provider for evaluation.
Outcome
Provider performance scorecards are finalized, feedback is delivered, and tiering or value-based financial adjustments are applied.

The work itself

Grounded Work Profile

Measured by

  • Provider Quality ScoreprocessProfile
  • Performance Evaluation Cycle TimeprocessProfile
  • Value-Based Contract AdherenceprocessProfile
  • Provider Disputation RateprocessProfile

Key steps

  • Aggregate claims, clinical, and patient experience dataprocessProfile
  • Calculate cost-efficiency and clinical quality metricsprocessProfile
  • Benchmark performance against peer groups and network standardsprocessProfile
  • Generate and distribute provider performance scorecardsprocessProfile
  • Conduct feedback sessions to establish improvement action plansprocessProfile
  • Execute contract-linked financial incentives, penalties, or tier changesprocessProfile

How AGI delivers it

Four ways AGI delivers for Conduct provider performance management

  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do
  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do
  • Business-as-Code

    Encode how your work runs, once, as software that executes itself.

    Platform.do

Value flow

How Conduct provider performance management connects

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