Global Appropriateness Measures provides a library of appropriateness metrics and a physician profiling analytics tool to identify clinical waste and outlier practice patterns in healthcare. By enabling health systems, payors, and employers to access data-driven insights, the company aims to reduce unnecessary healthcare costs and improve care quality across multiple specialties.
Funding
Funding not disclosed
+8Founders
Product
Problem
Healthcare systems, payers, and employers struggle to identify and address clinical waste and inappropriate care, leading to unnecessary costs and inconsistent quality across different medical specialties. Identifying outlier practice patterns among physicians is challenging without standardized, data-driven metrics.
Solution
Global Appropriateness Measures (GAM) offers a library of appropriateness metrics and a physician profiling analytics tool designed to pinpoint clinical waste and outlier practice patterns. GAM's metrics are developed by a consortium of physicians and are rooted in clinical wisdom and data analysis. The company's solutions enable healthcare organizations to access detailed reports on individual physician practices, facilitating data-driven behavior change and quality improvement efforts. GAM Vision, the physician profiling analytics tool, makes appropriateness data more accessible and easier to use for various stakeholders, allowing for informed care navigation and purchasing decisions.
Target Audience
The primary target audience includes health systems, physician groups, health plans, employers, third-party administrators (TPAs), and healthcare data and technology companies seeking to standardize quality, reduce costs, and improve care.
Features
- Library of appropriateness metrics covering over 30 specialties, with background, definitions, logic, thresholds, and supporting literature for each metric.
- Metric Dashboard for importing the appropriateness metric library into healthcare databases to generate detailed reports.
- GAM Vision, a physician profiling analytics tool providing insights on physician quality based on appropriateness of care and pricing measures.
- Identification of outlier practice patterns at the individual physician level.
- Data-driven insights to facilitate behavior change and decrease over-utilization.
- Support for value-based healthcare reimbursement models and physician eMeasures of quality.
- API access for integration with existing healthcare IT and analytics platforms.