Payer, Contract & Insurance Performance KPIs

Payer-facing performance: first-pass acceptance rate and payer contract profitability, grouped with authorization, underpayment, payment accuracy and appeal indicators for a single payer view.

Change any number and the result updates instantly. The pre-filled values are illustrative for a 200-bed hospital.

Results not where you want them?

Measuring a KPI is the first step; redesigning the process behind it is the second. This service was developed by Dr Hesham Dabah, CEO and healthcare expert with 25+ years in healthcare transformation, medical group management and consultancy.

Payer, Contract & Insurance Performance KPIs

Prior Authorization Compliance Rate

Underpayment / Adjustment Rate

Payer Payment Accuracy Rate

Denial Appeal Success Rate

First-Pass Acceptance Rate

Payer Contract Profitability

Results not where you want them?