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Integrated Provider Management (IPM)
Portico Integrated Provider Management (IPM) solutions empowers health plans to intelligently manage all of their provider touch points. For all of these touch points, Portico IPM leverages an integrated, modular platform to enable process automation, data exchange and analytics.
Key Benefits of Portico IPM:
- Increased Return on Investment (ROI) on core systems
- Increased speed to market with new products
- Improved transparency and quality initiatives
- Increased provider and member loyalty
- Improved provider data validity and reliability
- Decreased medical loss ratio (MLR)
- Decreased administrative costs
- Decreased training costs
- Decreased claims errors
- Decreased cycle times
Portico has categorized the provider interactions into four provider process areas:
Provider Network Management (PNM)
Network analysis/design, recruiting, contracting, credentialing and provider reimbursement
Provider Information Management (PIM)
Provider data maintenance, performance management, system/data integration exchange and create system of record, clinical data integration / health informaiton exchange (HIE)
Provider Relationship Management (PRM)
Provider communication, activity management and provider self- services
Provider and Member Collaboration (PMC)
Publishing online directories, enabling provider comparisons and directing members to quality provider networks, enabling online enrollment, enabling provider self-service and creating provider scorecards, medical home management
This innovative integrated approach is a critical enabler of improving the quality and affordability of health care, reducing administrative costs, optimizing operational efficiencies and strengthening the relationships between health plans, providers and members.
