--- title: "Methodology Evolved: Adapting to An Expanding Healthcare Industry" description: The launching of Outcomes Analytics+ marks an exciting shift in the field of healthcare analytics. 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[Variable Copay](https://www.valenzhealth.com/solutions/plan-performance/variable-copay/) Back ### Search # Methodology Evolved: Adapting to An Expanding Healthcare Industry By [Vālenz Health®](https://blog.valenzhealth.com/author/valenz-health) - December 11, 2020 [Provider Quality](https://blog.valenzhealth.com/tag/provider-quality) Share ![A woman looks at healthcare cost data on a computer.](https://blog.valenzhealth.com/hs-fs/hubfs/Blog/AdobeStock_1366434672%20(1)-1.jpeg?width=485&height=485&name=AdobeStock_1366434672%20(1)-1.jpeg) **The launch of Outcomes Analytics+ marks an exciting shift in the field of healthcare analytics as the inclusion of outpatient data alongside inpatient data provides unprecedented access to insights, analysis, and performance comparatives.** For nearly three decades, Quantros has been helping clients analyze and improve their performance with its vast dataset of 30 million CMS fee-for-service claims and 21.7 million all-payer claims. That dataset is set to grow exponentially in our new software Outcomes Analytics+ with the addition of outpatient data, adding more than 500,000 new physicians and 175 million additional patient encounters each year.   [Outcomes Analytics+](https://www.valenzhealth.com/solutions/provider-quality/outcomes-analytics/) will allow for the analysis of a patient’s full sequence of care (estimated to release mid-2021) — capturing all encounters related to a specific diagnosis or procedure, even if that includes multiple facilities and multiple physicians. ![timeline](https://blog.valenzhealth.com/hs-fs/hubfs/Imported_Blog_Media/timeline.png?width=648&height=169&name=timeline.png) Patient episodes are grouped by diagnosis or procedure, leveraging Optum’s Procedure Based Groups (PEGs) and Episode Treatment Groups (ETGs) allowing for incredible granularity of focus when drilling-down to inspect performance scores for specific procedures. In addition to being able to track a specific patient’s health journey, users can compare and contrast outcomes and efficiency between inpatient and outpatient settings. Capturing complete patient episodes also allows for improved physician attribution, and all practitioners associated with a patient’s care now share responsibility for that patient’s outcomes. Recognizing that patient populations vary between both healthcare providers and physicians, Outcomes Analytics+ adjusts for risk, examining patient age, gender, and comorbidities. A new innovation of scoring a patient’s comorbidities, rather than merely counting them, allows for the fact that not all comorbidities have an equal impact on the likelihood of an adverse event, and some comorbidities actually can have a positive effect making adverse events less likely. This more sophisticated approach enables more accurate risk-adjustment overall, and for the effect of a comorbidity on the outcome of interest to vary by the main diagnosis or procedure type. Outcomes Analytics+ takes a similar approach when measuring efficiency, adjusting for variation in patient characteristics: age, gender, and the same comorbidity classes mentioned above. Because regional differences can also have a large impact on cost (a hospital in New York is not likely to have the same charges as a hospital in Alabama), Quantros also controls for facility-level factors, examining historic billing practices to establish a provider’s rate of inflation or deflation. ![Outcomes-Analytics-Plus\_Efficiency-Summary\_Volume-Growth-768x236](https://blog.valenzhealth.com/hs-fs/hubfs/Imported_Blog_Media/Outcomes-Analytics-Plus_Efficiency-Summary_Volume-Growth-768x236.png?width=600&height=183&name=Outcomes-Analytics-Plus_Efficiency-Summary_Volume-Growth-768x236.png) Physicians and facilities continue to be scored and ranked in critical quality metrics such as mortality, complications, unplanned encounters (an expansion of readmissions across inpatient and outpatient settings), and patient safety, but new, key metrics have been introduced, as well, such as value and appropriateness of care. As CMS increasingly moves towards a value-based reimbursement model, the value score in Outcomes Analytics+ provides critical insight. Research shows that cost and quality do not necessarily correlate within healthcare, so rather than only looking at price information and assuming that greater value is attained by lower cost, Quantros measures the intersection of quality outcomes and efficiency. ![Outcomes-Analytics-Plus\_Performance-Summary\_Quality-Summary-768x260](https://blog.valenzhealth.com/hs-fs/hubfs/Imported_Blog_Media/Outcomes-Analytics-Plus_Performance-Summary_Quality-Summary-768x260.png?width=600&height=202&name=Outcomes-Analytics-Plus_Performance-Summary_Quality-Summary-768x260.png) Scores in mortality, complications, and unplanned encounters are combined to create an Overall Quality Score which captures facility and physician performance at-a-glance. Learn more about Outcomes Analytics by Quantros by contacting the Vālenz Health® team today. ### Connect with Us to Learn More ![Vālenz Health®](https://blog.valenzhealth.com/hs-fs/hubfs/Valenz%20Logo%20Signature.png?width=48&height=48&name=Valenz%20Logo%20Signature.png) [Vālenz Health®](https://blog.valenzhealth.com/author/valenz-health) Vālenz Health® empowers employers, brokers, payers, and providers to reduce costs, improve quality, and elevate the healthcare experience. Our solutions combine advanced technology, clinical expertise, and extensive cost, quality, and utilization datasets to execute across the entire healthcare journey — connecting insights and action for greater transparency, flexibility, and cost containment within a complex system. By helping our customers and members navigate healthcare with confidence, we support smarter care decisions, strengthen plan performance, and deliver better value for everyone we serve. ## Related Articles [![](https://blog.valenzhealth.com/hubfs/Blog/AdobeStock_576808710-1.jpeg)](https://blog.valenzhealth.com/leveraging-healthcare-analytics) ### [Leveraging Healthcare Data Analytics for Lower Costs and Better Care Delivery](https://blog.valenzhealth.com/leveraging-healthcare-analytics) According to Grand View Research, the U.S. healthcare analytics market size is estimated to reach $67.5 billion by 2033, reflecting the rapid adoption of AI and predictive analytics by all parties affected by ever-rising healthcare costs. [Vālenz Health®](https://blog.valenzhealth.com/author/valenz-health) July 06, 2026 [![A nurse reviews patient forms at a front desk in a clinic. ](https://blog.valenzhealth.com/hubfs/Blog/credentialing-vs-pssm.png)](https://blog.valenzhealth.com/healthcare-compliance-credentialing) ### [The Compliance Gap: The Risks of Relying on Credentialing to Meet OIG Standards](https://blog.valenzhealth.com/healthcare-compliance-credentialing) In an industry where providing high-quality care to patients is the utmost priority, ensuring providers are properly credentialed and meet ongoing compliance standards should be an equally critical investment for healthcare organizations. [Brandy Robinson](https://blog.valenzhealth.com/author/brandy-robinson) May 04, 2026 Share Ready to Simplify Self-Insurance? ## Your Journey Starts Here Connect with a Valenz team member to explore the difference our solutions can make for you. ![Vālenz Health](https://www.valenzhealth.com/wp-content/uploads/2025/05/logo.svg) [![Youtube](https://www.valenzhealth.com/wp-content/uploads/2025/06/Icon-Youtube.svg)](https://www.youtube.com/@valenzhealth) [![Linkedin](https://www.valenzhealth.com/wp-content/uploads/2025/06/Icon-Linkedin.svg)](https://www.linkedin.com/company/valenz/) [Login](https://www.valenzhealth.com/user-login/) [Help Center](https://support.valenzhealth.com/hc/en-us) [Trust Center](https://trust.valenzhealth.com/) [Privacy Policy](https://www.valenzhealth.com/privacy-policy/) Cookie Settings [Cookie Policy](https://www.valenzhealth.com/cookie-policy/) [California Privacy Rights Notice](https://www.valenzhealth.com/california-privacy-rights-notice/) [Terms and Conditions](https://www.valenzhealth.com/terms-and-conditions/) 1717 McKinney Ave, Suite 1000, Dallas, TX 75202, USA | [(866) 762-4455](tel:+18667624455) © 2026 Vālenz Health® ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ { "@type" : "Thing", "name" : "Provider Quality" } ], "articleBody" : "The launch of Outcomes Analytics+ marks an exciting shift in the field of healthcare analytics as the inclusion of outpatient data alongside inpatient data provides unprecedented access to insights, analysis, and performance comparatives. For nearly three decades, Quantros has been helping clients analyze and improve their performance with its vast dataset of 30 million CMS fee-for-service claims and 21.7 million all-payer claims. That dataset is set to grow exponentially in our new software Outcomes Analytics+ with the addition of outpatient data, adding more than 500,000 new physicians and 175 million additional patient encounters each year. Outcomes Analytics+ will allow for the analysis of a patient’s full sequence of care (estimated to release mid-2021) — capturing all encounters related to a specific diagnosis or procedure, even if that includes multiple facilities and multiple physicians. Patient episodes are grouped by diagnosis or procedure, leveraging Optum’s Procedure Based Groups (PEGs) and Episode Treatment Groups (ETGs) allowing for incredible granularity of focus when drilling-down to inspect performance scores for specific procedures. In addition to being able to track a specific patient’s health journey, users can compare and contrast outcomes and efficiency between inpatient and outpatient settings. Capturing complete patient episodes also allows for improved physician attribution, and all practitioners associated with a patient’s care now share responsibility for that patient’s outcomes. Recognizing that patient populations vary between both healthcare providers and physicians, Outcomes Analytics+ adjusts for risk, examining patient age, gender, and comorbidities. A new innovation of scoring a patient’s comorbidities, rather than merely counting them, allows for the fact that not all comorbidities have an equal impact on the likelihood of an adverse event, and some comorbidities actually can have a positive effect making adverse events less likely. This more sophisticated approach enables more accurate risk-adjustment overall, and for the effect of a comorbidity on the outcome of interest to vary by the main diagnosis or procedure type. Outcomes Analytics+ takes a similar approach when measuring efficiency, adjusting for variation in patient characteristics: age, gender, and the same comorbidity classes mentioned above. Because regional differences can also have a large impact on cost (a hospital in New York is not likely to have the same charges as a hospital in Alabama), Quantros also controls for facility-level factors, examining historic billing practices to establish a provider’s rate of inflation or deflation. Physicians and facilities continue to be scored and ranked in critical quality metrics such as mortality, complications, unplanned encounters (an expansion of readmissions across inpatient and outpatient settings), and patient safety, but new, key metrics have been introduced, as well, such as value and appropriateness of care. As CMS increasingly moves towards a value-based reimbursement model, the value score in Outcomes Analytics+ provides critical insight. Research shows that cost and quality do not necessarily correlate within healthcare, so rather than only looking at price information and assuming that greater value is attained by lower cost, Quantros measures the intersection of quality outcomes and efficiency. Scores in mortality, complications, and unplanned encounters are combined to create an Overall Quality Score which captures facility and physician performance at-a-glance. Learn more about Outcomes Analytics by Quantros by contacting the Vālenz Health® team today. 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