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Evaluating the business
Evaluating organizational performance and providing
recommendations usually occurs at specific intervals where
the encounter data and fund capitation data have been
collected, consolidated, and reviewed.
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| For managed care administrators and physician practice managers, this
may mean performance management lags behind normal business
practices, delaying reporting until just prior to contracts
negotiations.
Managed care organizations need the ability to analyze
timely business information and effectively communicate
directly with the other organizational ‘players’.
They need the ability to manage and evaluate
organizational and physician practice performance, measure
service quality, calculate utilization, and effectively
communicate business ideas in a cost efficient manner.
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