Provider Performance as a Connected Ecosystem

Organizations often have fragments of information about provider quality, cost, referrals, and affiliations, but not a single, trusted view that ties those signals together. Provider Intelligence helps teams evaluate performance more accurately and act with confidence.

Provider Intelligence helps to evaluate total provider performance across the ecosystem, combining cost efficiency, quality outcomes, referral behavior, and affiliation to build stronger networks and drive better impact.​

PROVIDER INTELLIGENCE

A claims-based view of provider performance and referral opportunities.  ​

Provider search and discovery​

Find providers by specialty, geography, and subspecialty filters, then rank them using cost efficiency and quality signals to identify the strongest options for a given market or use case.​

Cost efficiency and quality scoring​

Evaluate providers on a 1 to 5 scale across cost efficiency and quality, using risk-adjusted comparisons built from more than 250-episode types.​

Episode level performance ​

Break performance down by condition and procedure to understand volume, cost, and quality at a more actionable level, revealing where providers excel and where they underperform.​

Affiliation intelligence​

See claims-based relationships across TINs, hospitals, facilities, and billing entities to understand where providers and how they are operationally connected.​

Understand the why behind quality insights​

Go deeper into outcomes by identifying the drivers of poor performance, including readmissions, infections, revisions, and other complications, along with their frequency and cost impact.​

Referral and shared patient networks​

Reveal natural referral patterns and shared-patient relationships to support network design, referral optimization, and questions like which additional providers matter if one is added.​

Meaningful Data. Measurable Impact.

300 M+

Lives driving provider performance scores1

2 M

Providers profiled1

250

Episodes of care benchmarked1

1National provider performance data supporting cost, quality, and episode-level benchmarking.

What Sets Provider Intelligence Apart

Affiliation intelligence grounded in how providers act

Go beyond directory-style data by showing claims-based connections across groups, hospitals, facilities, and billing entities.

Understand not just how a provider scores, but why

Move from ranking providers to making practical decisions about improvement, selection.​

Easily integrate data into existing workflows

Work within Provider Intelligence directly, export what you need, or integrate the intelligence into internal tools.​

Deliver value across your organization

Strengthen referral networks and improve clinical performance.

  • Benchmark physicians, specialists, and facilities using objective cost, quality, and episode-level performance measures.
  • Identify referral leakage, shared patient relationships, and opportunities to strengthen care coordination across your network.
  • Understand the drivers behind quality performance, including readmissions, complications, revisions, and other clinical outcomes.
  • Evaluate provider affiliations and practice relationships to support physician alignment and network expansion strategies.
  • Make more informed recruiting, partnership, and service line decisions with comprehensive provider intelligence.

Build high-performing provider networks with objective performance insights.

  • Evaluate providers using risk-adjusted cost efficiency, quality outcomes, and episode-level performance to support smarter contracting decisions.
  • Identify high-value providers and referral opportunities that improve network performance while reducing unnecessary costs.
  • Understand claims-based affiliations and provider relationships to strengthen network design and optimize specialist coverage.
  • Benchmark provider performance across more than 250 episode types to support value-based contracting and network strategy.
  • Move beyond provider directories with actionable intelligence that reveals how providers actually practice and collaborate.

Build stronger provider networks with comprehensive performance intelligence.

  • Identify high-performing providers using claims-based quality, cost efficiency, referral, and episode performance metrics.
  • Strengthen attribution and network performance by understanding referral relationships and shared patient patterns.
  • Evaluate provider groups, specialists, and facilities to build networks that improve quality, utilization, and financial performance.
  • Surface opportunities to reduce unnecessary variation by analyzing performance at the episode and procedure level.
  • Support physician engagement with transparent, data-driven insights that explain not only how providers perform, but why.

Deliver compliant, high-performing programs with consistent, actionable insight.

  • Enable visibility into quality, risk, and utilization across programs.
  • Support accurate and consistent reporting across populations.
  • Identify performance gaps earlier in the reporting cycle.
  • Align teams around shared program metrics and definitions.
  • Reduce manual effort associated with reporting and validation processes.

See Provider Intelligence in Action

Discover how Provider Intelligence gives you a clearer view of provider performance.

Schedule A Demo

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