Attribution by Market
Attribution by Market
How to Interpret

This bar chart shows the distribution of attributed members across different markets.

  • Taller bars indicate markets with more attributed members
  • The total at the bottom shows the sum across all markets
  • Use this to identify your largest markets and ensure attribution is distributed as expected
  • Significant changes from prior periods may indicate contract changes or data issues
PMPM Trends - Top Practices
PMPM Trends
How to Interpret

This line chart tracks Per Member Per Month (PMPM) costs over time for the top 5 practices by attributed lives.

  • Upward trends may indicate increasing costs or sicker populations
  • Downward trends may suggest successful cost management
  • Seasonal patterns are common (higher utilization in winter months)
  • Compare practices to identify outliers or best practices
  • Recent months may show lower PMPM due to claims lag
ED Utilization - Outlier vs Comparison
ED Comparison
How to Interpret

This chart compares Emergency Department visits per 1,000 members between an outlier practice and a comparison practice.

  • The dashed line represents the outlier practice
  • The solid line represents a comparison (high-volume) practice
  • Higher ED rates may indicate access issues, care gaps, or sicker populations
  • Look for consistent gaps vs. temporary spikes
  • Consider patient demographics when interpreting differences
Claims Completeness Over Time
Claims Completeness
How to Interpret

These charts show claims volume and completeness ratio to assess data maturity.

  • Top panel: Monthly claim counts vs. 6-month rolling average
  • Bottom panel: Ratio of current month to historical average
  • Values below 85% (red zone) suggest incomplete data
  • Recent months typically show lower completeness due to claims lag
  • Allow 60-90 days for claims to fully mature before drawing conclusions
Roster Generation Funnel
Roster Funnel
How to Interpret

These horizontal bar charts show how members flow through roster generation rules.

  • Each roster type (VBC, Care Mgmt, Benchmark) has its own funnel
  • Percentages show what portion of the starting population remains at each step
  • Large drop-offs between steps indicate restrictive rules
  • Compare across periods to detect rule changes or data issues
  • Use this to understand why certain members are excluded
Market PMPM Heatmap
Market PMPM Heatmap
How to Interpret

This heatmap shows average PMPM by market and month, allowing quick identification of cost patterns.

  • Red/darker colors indicate higher costs
  • Green/lighter colors indicate lower costs
  • Look for horizontal patterns (market-specific issues)
  • Look for vertical patterns (seasonal trends)
  • Outlier cells may warrant deeper investigation