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Healthcare is under pressure to deliver better outcomes at lower cost. Getting there requires performance assessments that people trust enough to act on.
Without them, value-based care organizations cannot understand population needs, curate networks, or work toward shared savings. Payers cannot design high-performing networks or benchmark providers. And patients cannot choose the providers best suited to their care.
When every stakeholder works from the same clinically nuanced view of both cost and outcomes, those decisions get easier to make and easier to defend.
Inside Arcadia’s Provider Performance Index and episodic approach
Peer benchmarking across 250+ condition and treatment episodes, scored observed against expected, so payers, value-based care organizations, and providers can align on one transparent view of cost efficiency and outcomes.
The Problem
With the increasing pressure for sustainability, the healthcare system is laser focused on high-quality outcomes, reduced costs, and a positive experience. While the path to sustainability will see many twists and turns, it is clear the path forward requires actionable, transparent performance assessments.
The Solution
Arcadia’s Provider Performance Index (PPI) is a performance scoring system built on peer benchmarking. It’s more than a score—it’s a strategic lens into performance dynamics, empowering leaders across population health, quality improvement, provider relations, and network contracting to align on a shared, transparent view of cost efficiency and outcomes.
What the Provider Performance Index measures
The Provider Performance Index is a scoring system built on peer benchmarking. It combines claims benchmarking with clinically nuanced episodes of care and observed-to-expected performance calculations.
The output is an assessment across multiple levels of provider granularity, showing how observed financial, outcomes, and quality performance compares to expected performance. It is designed to be read by population health, quality improvement, provider relations, and network contracting teams working from the same numbers.
One clinically vetted approach powering many use cases across your organization.
- Grounded in clinical nuance: The episode grouper is vetted by clinicians and aligns with real-world practice patterns, which is what makes comparisons across specialties meaningful.
- Flexible in nature: Benchmarking runs across episodes of care, physicians, groups, and facilities, covering dozens of specialties.
- Purpose-built for action: The analysis highlights variation in cost drivers down to the claim category and the reason for complication, supporting physician benchmarking, network design, referral routing, and site-of-service optimization. Results embed into existing workflows through Arcadia dashboards, Snowflake Marketplace, Salesforce Health Cloud, SFTP feeds, or APIs.
- Transparent by design: Every score is backed by open, documented methodology, so leaders can validate it before acting on it.
