Providers

Provider details for a selected contract.

The Providers tab contains the list of providers defined in the Oracle Personnel tool and a list of standard metrics are displayed per provider. You can filter a specified contract to view provider performance metrics. The following columns are supported:

• Name: Provider name
• Members: The count of active members associated with the provider.
• Readmission Rate: (30-day): The percentage of patients who are readmitted within 30 days of their initial discharge.
• RAF Score (normalized): A normalized RAF score is a risk score adjusted to a baseline value of 1.0 representing the average expected cost of care.
• HCC Redoc: Percentage of persistent conditions that are redocumented during the contract period.
• Avg. Care Gaps/Pt: The average count of open care gaps per patient.