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PLUM – Provider Lookup Manager

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  • PLUM – Provider Lookup Manager

    • PLUM, powered by HealthCorum 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 from our partner HealthCorum. Their data of 1.4 million providers matches members with quality and cost insight so they can choose the best doctor 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 percentile for both cost and quality of care.

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    Unbiased Scores

    PLUM uses independent data from HealthCorum.

    More Choices

    High-quality, low-cost providers that are in-network.

    Compare Doctors

    Find and compare doctors using clear & accurate data.

    Smart Choices

    Helpful insights so you can avoid low-quality care.

    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.

    Here’s how PLUM measures provider quality:

    • Actual results vs. expected results: how well a doctor performs
    • Cost for full care: from the first visit to follow-up‑ care
    • Patient needs: age, health risks, and type of care needed
    • Low value care: avoidable ER visits or treatments people don’t need

    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.

    • Cost-control.svg

      HCC Risk Score

    • Insurance

      Average Patient Age

    • Planning

      Episode Length

    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.

    PLUM is simple to use!

    How to find a PLUM Provider:

    • Log in to your Difference Card Account (mobile app or online).
    • Click PLUM Search.
    • Type in your location and the type of care you need.
    • Click Find PLUM Provider.

    Your results will show providers near you. The best performing ones will have a purple PLUM icon.

    When you click a provider, you’ll see:

    • Their Quality Score
    • Their Appropriateness Score
    • Their Cost Score
    • Insights about how well they perform

    The more you explore, the easier it becomes to choose great providers.

    Save Money Using PLUM Providers

    PLUM doesn’t just help you find high-quality care. It can also help you save money.

    PLUM lowers your healthcare costs by:

    • Guiding you to doctors who avoid unnecessary tests and treatments
    • Highlighting doctors who give efficient, effective care
    • Helping you compare providers fairly
    • Showing you which providers may cost more or give low-value care

    By choosing PLUM Providers, who score highest in both cost and quality, you are more likely to get better results at a lower cost!

    Request a demo of PLUM!

    PLUM Demo Request

    Helpful Videos

    PLUM | The Future of Cost-Containment Transparency

    Watch our live webinar where we discuss the how PLUM works and the value of knowing the cost and quality of your healthcare provider.

    Request a PLUM Demo

    Introducing Plum graphic from The difference Card

    Helpful Videos

    PLUM | The Future of Cost-Containment Transparency

    Watch our live webinar where we discuss the how PLUM works and the value of knowing the cost and quality of your healthcare provider.

    Request a PLUM Demo

    Introducing Plum graphic from The difference Card
    : "PLUM | The Future of Cost-Containment Transparency"

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