PLUM
The Provider Lookup Manager Tool
PLUM, powered by The Difference Card, is a search tool that gives members visibility into the cost and quality of their healthcare.
PLUM is the ultimate Provider Lookup Manager for our members, leveraging a robust, unbiased database that matches quality and cost data to deliver the best options based on location and services provided.
Exclusive to The Difference Card, members can easily access the user-friendly database tool in the mobile app or in their member portal online.
Within Plum, members can view top-tier providers, known as Plum Providers, who rank in the top 25% for both cost and quality.
Why did we build PLUM?
To create better care outcomes for our members.
Rates differ wildly from provider to provider and location to location without any direct correlation to quality or outcomes, and there is no clear transparency into those providers or those healthcare systems.
What do you call the person that graduated last in their class at Med School? A DOCTOR.
Even within a high performing healthcare system, there can be a provider that underperforms.
Unless you work within a healthcare system, you probably have no idea which doctor is performing at the highest standards and has the best patient outcomes. Most provider rating systems are simply opinions and not based in data or patient results.
A Provider Search Tool Based on Patient Outcomes
PLUM uses the only fully joinable claims data source available for a comprehensive view of patient journey from start to finish.
By following the patient from first visit to discharge and PCP follow-up, we can fully evaluate providers.
Plum considers several factors about each provider’s patient population to use in a regression model to determine what to expect.
We first compare their actual performance to what we would expect of them, whether in terms of costs or outcome measures. PLUM uses an observed/expected ratio and statistical techniques.
Once we put their performance on a comparable scale, we can compare medical providers in an ”apples to apples” manner.
Get Rewarded for Using PLUM Providers
Difference Card Members can get incentives for seeing a PLUM provider, those in the top 25% for cost and quality of care.
Using the unique plan design services of a Difference Card MERP, employees can be incentivized with better health benefits to seek out a PLUM provider.
Plan designs and incentives can be customized for each employer. Request a demo of PLUM to learn more!
