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Nascate Performance Metric™
Identify strong, high-performing provider communities
Nascate’s Performance Metric (NPM) is built as a composite of performance measures proven to be associated with better member outcomes, and carefully selected to measure the members’ experience.
NPM scores Nascate Medical Neighborhoods™ (communities of Primary Care Physicians) based on how strong the provider-to-provider relationships are, within that neighborhood.
Higher NPM scores for a neighborhood indicate better neighborhood performance
NPM scores are calculated relative to the neighborhood’s county
NPM is calculated utilizing public and claims data for a more complete picture of referral patterns in a given region
Target actions: Drive members toward high-performing neighborhoods; work with low-performing neighborhoods to improve
Nascate Medical Neighborhoods™ serve as the basis for our NPM metric
Nascate Medical Neighborhoods™
Proprietary communities of physicians who share connections of individuals and families.
Created by combining claims and public CMS data to infer physician referral patterns.
Behavior-based and independent of formal provider affiliation
Geographically relevant individuals are deeply influenced by where they live and their interactions with medical providers
Utilize multi-payer referral patterns over time to fill in gaps
Nascate’s Performance Metric (NPM) is a composite of performance measures proven to be associated with better member outcomes, and carefully selected to measure the members’ experience. Some underlying measures include:
Nascate Medical Neighborhoods™ get an NPM score that ranges from 0-100 to quantify the performance of the Neighborhood (relative to the county where the providers are located).
Relationships Drive Attribution
Strong relationships between people and their providers yield better outcomes, improved member experience, and reduced cost. Members tightly connected to a provider are less likely to have dispersed care and increased utilization- and these are patterns that persist over time.
Longitudinal View of Member Behavior
Nascate analyzes a person’s utilization of the healthcare system over time, identifying key trends and patterns that indicate who is truly responsible for a person’s care.
Nascate’s unique and proprietary process of mapping person and provider behavior over time provides valuable insight and fuels multiple Nascate Solutions.