Challenged by consolidation and an increasingly competitive marketplace, health plans and third party administrators (TPAs) must differentiate themselves from competitors to win and retain business. To determine a solid strategy, comparative data is needed to evaluate and benchmark financial and clinical performance.

ACTIONABLE METRICS WILL ALLOW YOU TO DO THE FOLLOWING:

       Decrease Per Member Cost: Our actionable metrics show you the opportunities to drive down costs in overutilization, unnecessary care, and deviations from better practices.

       Decrease Provider Overutilization: We have metrics that highlight the deviations in provider care, provider pay versus peer groups and provider behavior patterns by hospital.

       Educate and Prevent: With 75% of healthcare dollars being spent on patients with one or more chronic condition, we can help you understand where to allocate education resources and prevention dollars.

       Reshape your Payment Methodology: By better understanding the true metrics driving your plan costs, you can better assess your risk, and plan methodologies.

        All Providers Are Not Alike: You know this. You have seen the costing reports. We will help you understand the behavior changes necessary to keep up with the evolving mandates and cost burdens

.

Pendulum has established a new and improved data capture and analysis toolset.