The number of Scrum teams expected to be simultaneously developing the PREMIER Provider replacement system (PIER - Network), come January 2018.
What is 4.
100
The 2 products impacted by the Contract Modeling project.
What is Pricing and Alternative Contracting?
100
A $120M investment over 3-5 years to modernize core processes for managing provider data and provider contracts.
What is PIER?
100
This product was built around 2004 and continues to operate as a core component of Provider and Network.
What is Pricing?
100
Meaning of acronym PANDA.
What is Provider and Network Decision Analytics?
200
Name of the new ecosystem of provider applications being implemented as part of the Provider Strong - Provider Data Contract Management project.
What is Provider Information Enterprise Relations?
200
Delivery methodology used by both impacted product teams.
What is Scrum?
200
Coordination of care management by providers and by HCSC care management staff, e.g. for management of conditions such as diabetes.
What is hybrid delegation?
200
This product was built in 2011 and was one of the first agile based development activities at HCSC.
What is Alternative Contracting?
200
Meaning of acronym EQuIP.
What is Electronic Quality Intelligence for Providers?
300
Two applications that PDCM will add to the Provider product.
What is Customer Relationship Management (Salesforce) and Contracting (IBM Emptoris)?
300
The level of funding requested for 2018 for the Contract Modeling program.
What is $15 million.
300
An analytics solution that makes cost, utilization and quality metrics for providers and for internal users. Also, a mammal native to China with a name that translates to "black and white cat-foot".
What is PANDA?
300
Around 2014, this product was completely rewritten from a legacy platform, only to be rebuilt again starting in 2016.
What is Provider?
300
Main purpose of PANDA reports.
What is Provider Efficiency / Cost?
400
The 5 areas of responsibility for the product managers in the Provider product.
What is PIER Network (Core), Contracting and Credentialing, Customer Relationship Management, Services & Integration, Legacy Provider & Extracts?
400
Two contract types supported by Contract Modeling Program.
What is Fee for Service and Fee for Value?
400
Financial construct behind HMOs that reimburses providers on a per-member-per-month basis instead of a per-claim basis. This payment arrangement is making a comeback as the most effective Fee-for-Value arrangement.
What is capitation?
400
In 2010, this product was built out of CMS mandate to simplify our interactions with Providers.
What is 27x / Admin Simp?
400
Type of claims excluded from PANDA measure calculations.
What is Facility?
500
Labor savings (number of hours) realized since the March implementation of web demographic forms (Provider - Contract Management).
What is 250,000 hours (1.5M cases)?
500
Largest scope item consideration for 2018.
What is a Common Scenario Builder?
500
An innovative approach of allowing group clients or members to select which providers are part of their network. A prototype is currently being built as part of the Innovation portfolio.
What is Build Your Own Network?
500
This product was built primarily to support new reimbursement models with HMO and has had significant expansion to support multiple business functions.
What is BlueCap / Alternative Reimbursement?
500
Reporting platform used to roll out Self-Service Network Analytics.