Athos Software

Transforming Healthcare Performance Management with Data-Driven Insights

A large healthcare services organization managing hundreds of providers across multiple facilities was struggling with fragmented performance data. Spreadsheets scattered across departments, manual data compilation taking days, and leadership lacking real-time visibility into key performance indicators. They needed a unified analytics platform that would transform raw operational data into actionable insights.

The Challenge

The organization tracked critical metrics—patient encounters, provider shifts, and payment collections—but the data lived in massive Excel spreadsheets that were difficult to analyze. Department heads spent hours manually creating reports. Provider bonus calculations were particularly problematic: complex tiered formulas, quarterly reconciliations, and discrepancy investigations consumed weeks of accounting time each quarter. By the time leadership received performance summaries, the data was already outdated. Providers questioned bonus amounts with no way to verify calculations. There was no way to quickly identify top performers, spot trends, or drill down into specific time periods, locations, or payer types.

The Solution

We designed and delivered a Provider Performance Analytics Platform—a comprehensive business intelligence solution that automatically processes operational data, calculates provider bonuses with precision, and presents insights through intuitive dashboards and interactive visualizations. Built to handle millions of data points and complex compensation formulas, the platform transforms how healthcare organizations monitor performance, manage provider compensation, and make data-driven decisions.

Powerful Analytics Features

Real-Time Performance Dashboard

Get instant visibility into your organization's key performance indicators:

• High-Level Metrics: See total encounters billed, shifts worked, and payment collections at a glance
• Trend Visualization: Interactive line charts showing month-over-month payment trends and performance patterns
• Custom Time Periods: View data by year, month, or specific date ranges
• Real-Time Updates: Dashboard refreshes automatically as new data is processed
• Executive Summaries: High-level overview perfect for leadership meetings and board presentations

Advanced Multi-Dimensional Filtering

Slice and dice performance data exactly how you need it:

• Provider Analysis: Compare performance across individual providers or provider groups
• Location Breakdown: Analyze metrics by facility, hospital, or geographic region
• Insurance Segmentation: Track performance by payer type—Medicare, Medicaid, commercial insurance, or self-pay
• Time Period Filters: Zoom into specific years, months, quarters, or custom date ranges
• Combined Filters: Apply multiple filters simultaneously for precise analysis

Hierarchical Drill-Down Tables

Explore your data from summary to detail with intuitive drill-down capabilities:

• Provider Performance View: Start with provider-level summaries, drill down to monthly performance, then to daily details
• Time Period View: Begin with yearly totals, expand to months, then drill into specific dates
• Three-Level Hierarchy: Navigate through three levels of detail with simple clicks
• Expand/Collapse Controls: Show only the detail level you need at any moment
• Contextual Data: Each level shows relevant metrics—encounters, shifts, collections
• Inline Calculations: Automatic subtotals and aggregations at each level

Automated Data Processing

Eliminate manual data compilation with intelligent automation:

• Excel Integration: Automatically process large Excel files (10MB+) containing encounter and payment data
• Data Validation: Built-in validation catches errors and inconsistencies before they reach reports
• Incremental Updates: Process only new data, not entire files, for faster refresh times
• Error Handling: Clear notifications when data issues are detected with guidance on resolution
• Batch Processing: Handle multiple data files simultaneously without manual intervention
• Historical Data Preservation: Maintains complete history for trend analysis and year-over-year comparisons

Intelligent Bonus Calculation and Management

Automate complex provider compensation calculations with precision and transparency:

• Tiered Incentive Structures: Configure multi-tier bonus plans (Tier 1, 2, 3) based on collection targets with percentage-based calculations at each tier
• Base Salary Integration: Automatically factor in provider base salaries and quarterly compensation costs (including 7% overhead) for accurate net compensation
• Collection-Based Calculations: Calculate bonuses based on actual payment collections with 60% overhead factoring, not just charges billed
• Quarterly Performance Periods: Support Q1-Q4 bonus cycles with automatic period detection and YTD cumulative calculations
• Date-Based Configuration: Multiple compensation configurations per provider with effective date ranges supporting mid-year rate changes
• Complete Audit Trail: Full transparency with detailed calculation breakdowns showing tier-by-tier bonus computation
• Negative Bonus Detection: Automatically flag scenarios where collections don't meet base salary thresholds
• Comparative Analysis: Compare calculated bonuses against legacy Excel systems to ensure accuracy during migration
• Batch Calculation: Process bonuses for all providers across multiple quarters with a single API call (352 calculations in 63 seconds)

Financial Reconciliation and Reporting

Ensure financial accuracy with comprehensive reconciliation tools:

• Collection Verification: Automated comparison of reported collections against actual payment records to identify discrepancies
• Discrepancy Investigation: Detailed analysis tools to investigate calculation differences and data variances
• Quarter-over-Quarter Comparison: Track bonus trends and identify anomalies across time periods
• Base Salary Audits: Comprehensive verification of base salary data accuracy across all providers with automated comparison against source data
• Top Performer Analysis: Real-time rankings showing highest-earning providers with YTD bonus totals
• Financial Impact Reports: Document calculation methodology changes and their financial impact over time

Comprehensive Performance Metrics

Track the metrics that matter most to healthcare organizations:

• Encounters Billed: Total patient encounters by provider, location, time period
• Shifts Worked: Provider shift counts and scheduling patterns
• Payment Collections: Actual payments received, not just charges billed
• Collection Rates: Percentage of billed charges actually collected
• Average Collection per Encounter: Revenue efficiency metrics
• Productivity Metrics: Encounters per shift, revenue per hour worked
• Payer Mix Analysis: Breakdown of revenue by insurance type

Data Export Capabilities

Export performance data for further analysis and integration:

• Excel Data Export: Export filtered data to Excel format for additional analysis
• CSV Downloads: Raw data exports for integration with payroll and accounting systems
• API Access: RESTful API endpoints for programmatic data access and integration

Clean Architecture for Reliability

Built on enterprise-grade architecture principles:

• Separation of Concerns: Domain, Application, Infrastructure layers ensure maintainability
• Blazor WebAssembly Frontend: Modern SPA experience with fast, responsive UI
• ASP.NET Core API: RESTful API backend that scales horizontally
• SQL Server Database: Optimized queries with proper indexes for fast data retrieval
• Entity Framework Core: Type-safe data access with automatic migrations
• Swagger/OpenAPI Documentation: API documentation for future integrations

Measurable Business Impact

The Provider Performance Analytics Platform has revolutionized how the organization makes decisions and manages compensation:

From Spreadsheets to Strategic Insights

The platform processes millions of rows of encounter and payment data, automatically extracting insights that would be impossible to see in spreadsheets. Bonus calculations that used to take the accounting team weeks each quarter now complete in minutes with 100% accuracy. Leadership now starts every meeting with up-to-date performance metrics. Department heads can answer questions about provider productivity, location performance, or payer trends in seconds. Providers receive detailed bonus statements showing exactly how their compensation was calculated. What used to be a painful manual process is now automated, accurate, and always available.

Designed for Healthcare Operations

Every feature was designed specifically for healthcare organizations tracking provider performance and managing compensation. The hierarchical drill-down mirrors how healthcare executives think—start with the big picture, drill into specifics only when needed. Multi-dimensional filtering lets you answer questions like "How did Dr. Smith perform at Hospital A with Medicare patients last quarter?" in seconds. The bonus calculation engine handles complex tiered structures, quarterly periods, and provider-specific formulas that accounting teams know all too well. The interface is intuitive enough for executives who aren't data analysts, yet powerful enough to satisfy finance teams who need detailed breakdowns and audit-ready documentation.

Scalable for Growth

Whether you're managing 10 providers or 1,000, the platform scales effortlessly. The architecture supports millions of encounters and payments without performance degradation. Add new locations, providers, or insurance types without system changes. The data processing engine handles growing data volumes automatically, and the database is optimized for fast queries even as your dataset grows exponentially.

About Athos Software

At Athos Software, we understand that data is only valuable when it drives decisions. This Provider Performance Analytics Platform demonstrates our ability to transform complex operational data into clear, actionable insights. From automated data processing to interactive visualizations, we build analytics solutions that business leaders actually use. Ready to unlock the insights hidden in your data? Contact Us to discuss your analytics needs today!