Provider assessment system, methods for assessing provider performance, methods for curating provider networks based on provider performance, and methods for defining a provider network based on provider performance

Abstract

Methods of assessing a performance of a provider include receiving, from a third-party system, claims data, applying one or more defined performance measures to the claims data to determine measure scores of one or more providers, the measure scores being related to key-clinical decision points within condition-based patient journeys represented in the claims data, outputting one or more data packages representing the determined measure scores, applying a principal components analysis to the one or more data packages to determine composite performance scores of the one or more providers based on the determined measure scores, wherein the determined composite performances scores are provider specific, generating a performance data package including the determined composite performance scores, and causing the determined composite performance scores to be displayed within a graphical user interface of an application of a client device.