Latest Run: 20260123_110159_Rb5Vko
January 23, 2026 at 11:01 AM 28s SUCCEEDED
47,663
Attributed Members
11,260
VBC Members
30,827
Care Mgmt Eligible
299
Active Practices
$1,635
Avg PMPM
Executive Summary

This month's pipeline run successfully processed 47,663 attributed members across 299 practices. The average PMPM cost is $1,634.63.

Of the attributed population, 11,260 members (23.6%) are enrolled in value-based care arrangements, and 30,827 members (64.7%) qualify for care management programs.


This is the first run - no prior period comparison available.

Data Quality & Anomalies

Data quality checks completed with 4 passing and 2 warning(s). All critical checks passed. The warnings are informational and do not block the pipeline.


Attention: 40 high-severity anomalies detected requiring review. These include significant denominator shifts and utilization spikes. An additional 20 medium-severity items are flagged for monitoring.

Attribution Logic
Attribution Methodology

Members are attributed to primary care providers using a claims-based attribution model that prioritizes continuity of care:

  1. Plurality Rule: Members are attributed to the provider with the most E&M visits in the measurement period
  2. Tie-Breaker: In case of equal visits, the most recent visit determines attribution
  3. Minimum Threshold: Members must have at least 1 qualifying visit to be attributed
  4. Provider Eligibility: Only providers in participating practices with active contracts are eligible for attribution

This methodology ensures members are aligned with the providers who are most engaged in their primary care, supporting accurate performance measurement and quality improvement initiatives.

Roster Logic
Roster Generation Logic

Three rosters are generated from the attributed population:

1. VBC Membership Roster
Members enrolled in value-based care arrangements. Criteria include:
  • Active attribution to a VBC-participating provider
  • Minimum 3 months continuous enrollment
  • Contract effective date within measurement period
2. Care Management Eligible Roster
Members qualifying for care management outreach based on:
  • Risk score in top 20% of attributed population
  • Presence of chronic conditions (diabetes, CHF, COPD)
  • ED utilization above practice benchmark
3. Benchmark Cohort Roster
Members included in performance benchmarking:
  • Full 12-month claims runout available
  • No gaps in enrollment exceeding 45 days
  • Attributed to practices with minimum panel size
Detailed Reports