Metric
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Definition
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Purpose
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Gross Payment Volume (GPV) / Total Transaction Volume (TTV)
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The total dollar value of all transactions or assets processed through the platform in a period.
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The ultimate measure of platform scale, trust, and utility. All other metrics drive this.
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Driver
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Description
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Team Owner (Typical)
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1. User Base Health
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The number and quality of users (active, funded, retained).
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Marketing, Product, & Finance
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2. Transaction Velocity
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The frequency and volume of transactions per user.
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Product & Growth
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3. Platform Take Rate & Yield
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The percentage of GPV/TTV converted to Net Revenue, and profitability.
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Finance & Risk
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Sub-Metric
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Calculation / Breakdown
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Relevance to Fintech
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Funded User Count
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Number of unique users with a positive balance, linked account, or active product (e.g., loan).
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A more robust metric than just "sign-ups" or "active users," indicating intent to transact.
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User Retention Rate
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% of users who remain active/funded over a period.
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Directly impacts Customer Lifetime Value (CLV). Critical for all financial products.
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Customer Acquisition Cost (CAC)
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Total S&M Costs/New Funded Users
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Must be monitored against CLV to ensure profitable growth.
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Time-to-First Transaction
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The time from signup to a user's first monetary action.
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A leading indicator of activation and future retention.
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Sub-Metric
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Calculation / Breakdown
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Relevance to Fintech
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Daily/Weekly Active Transactors (DAT/WAT)
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Users who complete a monetary action (transfer, trade, payment, etc.).
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Focuses on engagement with the core value, not just app-opening (which is a vanity metric).
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Transaction Frequency
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Total Transactions/Total Active Users
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Measures how "sticky" and integrated the product is into the user's financial workflow.
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Average Transaction Value (ATV)
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GPV/Total Transactions
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A driver of total GPV; influenced by the specific products used (e.g., large loans vs. small payments).
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Feature Adoption (e.g., Bill Pay/Card Use)
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% of active users engaging with high-frequency features.
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Identifies product "stickiness" and cross-sell opportunities.
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Sub-Metric
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Calculation / Breakdown
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Relevance to Fintech
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Net Take Rate
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Net Revenue/GPV
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The true percentage of volume retained by the platform after interchange fees, fraud, etc.
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Loan Default Rate / Charge-off Rate
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% of loan value/accounts that are uncollectible.
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The single most critical risk metric for lending-focused Fintechs.
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Net Revenue Retention (NRR)
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Measures retained and expanded revenue from existing users.
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Includes upgrades, cross-sells, and balance changes. Key for subscription or AUM models.
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Operational Efficiency Ratio
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Operating Expenses/Net Revenue
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Essential for scalability. A measure of how well the company converts volume into profit.
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Fintech Vertical
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North Star Metric Emphasis
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Critical Risk Metric
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Payments/B2B (e.g., Stripe, Adyen)
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Total Payment Volume (TPV)
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Fraud Loss Rate (as a % of TPV)
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Digital Banking (Neobanks)
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Total Deposits / Average AUM per User
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Cost of Funds / Interchange Yield
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Lending (e.g., Affirm, Klarna)
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Loan Origination Volume
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Loan Default/Charge-Off Rate
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Wealth/Investment
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Assets Under Management (AUM)
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Customer Churn (of high AUM accounts)
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Metric
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Definition
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Purpose
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Net Care Value Index (NCVI)
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The net financial contribution per care episode, weighted by the quality and safety outcome score
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Measures overall organizational health by balancing volume, cost control, and patient outcomes
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Metric (KPI)
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Definition/Formula
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Impact on Level 2 Driver
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Scheduled Utilization Rate
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Percentage of provider/facility capacity that is booked and kept.
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Direct input to Patient Demand (Volume).
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Time to Next Available Appointment
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The wait time (in days) to book with a provider, often used to gauge access.
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Impacts patient acquisition and prevents patients from seeking care elsewhere.
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Net Promoter Score (NPS) - Post Discharge
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Measures patient loyalty and willingness to recommend the facility.
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Strong indicator of long-term patient retention and brand value.
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Patient Acquisition Cost (PAC)
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Total cost of marketing and outreach divided by the number of new patients.
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Measures the financial efficiency of patient growth efforts.
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Adjusted Occupancy Rate
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Ratio of occupied beds/rooms/stations to total available, adjusted for specific patient mix.
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High utilization maximizes revenue potential from facility assets.
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Patient Throughput Time (PTT)
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Average time from a patient's arrival to discharge/departure (e.g., in the Emergency Department).
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Higher throughput means more patients served and better patient flow.
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Days in Accounts Receivable (DAR)
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The average number of days it takes for the provider to get paid after a service is rendered.
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Critical indicator of revenue cycle management and cash flow health.
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Staff Productivity Index
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Ratio of billed units of service (or patient volume) to total labor hours.
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Key cost control metric; measures efficiency of workforce deployment.
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Hospital-Acquired Condition (HAC) Rate
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Rate of conditions/complications acquired during care (e.g., infections, falls).
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Directly impacts patient safety and leads to costly, non-reimbursable care.
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30-Day Adjusted Readmission Rate
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Percentage of patients readmitted within 30 days after discharge for a related condition.
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The primary measure of care quality and discharge effectiveness; a major VBC indicator.
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Medication Error Rate
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Number of mistakes in prescription, dispensing, or administration of medication per set volume.
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Critical measure of patient safety and protocol adherence.
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Provider Protocol Adherence Score
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Percentage of clinical steps (e.g., pre-op checklist, specific care bundles) completed correctly.
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Ensures standardized, evidence-based, high-quality care is delivered.
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Metric
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Definition
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Purpose
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NUM - Net Underwriting Margin
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Net premium revenue minus total medical and administrative costs, expressed as a percentage of premium revenue
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Measures the financial health and efficiency of the insurance operations
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Metric (KPI)
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Definition/Formula
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Impact on Level 2 Driver
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Member Churn/Retention Rate
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Percentage of members who renew their policy or stay in the plan.
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High retention is cheaper than acquisition and ensures predictable revenue.
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Customer Acquisition Cost (CAC) Ratio
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Total Sales & Marketing Spend÷New Members Acquired
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Measures the efficiency of sales channels for revenue growth.
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Premium Yield per Member
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Average annual premium collected per member (segmented by plan type).
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Reflects effectiveness of pricing and upselling strategies.
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Net Promoter Score (NPS)
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Member satisfaction score regarding service and claims experience.
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A leading indicator for churn/retention.
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Average Cost per Claim (ACPC)
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Total Claims Cost÷Total Claims Processed
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Direct measure of claims cost management; influenced by provider negotiation.
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Network Discount Rate
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Average negotiated discount from the providers' billed charges.
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A key measure of the effectiveness of network contracting.
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Utilization Review Savings Rate
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% of potential claims cost reduced through pre-authorization and case management.
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Measures the success of managed care interventions to prevent unnecessary procedures.
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High-Cost Member Index
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Rate of members requiring high-cost, chronic, or catastrophic care.
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Used to forecast risk and target chronic disease management programs (preventative care).
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Claims Auto-Adjudication Rate
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% of claims processed fully by the system without human intervention.
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High rate lowers claims processing cost per claim.
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Administrative Expense Ratio
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Total Non-Claims Op. Costs÷Premiums Earned (insurers aim to keep this low).
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Direct input to the NUM; measures the efficiency of back-office and IT functions.
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Days to Claims Payment (DCP)
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Average number of days from receiving a claim to issuing payment.
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Impacts provider satisfaction, reducing disputes and improving network relationships.
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Customer Service First Contact Resolution (FCR) Rate
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% of member inquiries resolved during the first phone call or interaction.
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Improves service quality and lowers repeat administrative costs.
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Metric
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Definition
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Purpose
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NAV - Net Administrative Value
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A weighted score of service speed and accuracy, adjusted for client (Payer/Employer) satisfaction and unit cost.
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Measures the TPA's ability to deliver high-quality administrative services efficiently, which secures future contracts.
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Metric (KPI)
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Definition/Formula
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Impact on Level 2 Driver
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Client Retention Rate (Insurers)
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Percentage of major contracts renewed annually.
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Direct measure of long-term business health and trust.
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Member Satisfaction Score (MSS)
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Score from surveys focused on TPA's interaction (call center, cashless process).
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Indicates quality of member experience, reducing friction for the Payer.
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First Contact Resolution (FCR) Rate
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% of member/provider queries resolved in the first interaction.
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High FCR improves satisfaction and lowers administrative costs.
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Provider Dispute Rate
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Frequency of disputes raised by hospitals regarding claim settlements.
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Low rate indicates accurate and timely communication with providers.
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Average Turnaround Time (TAT) for Pre-Authorization
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Time from request submission to approval/rejection decision.
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Critical for hospital satisfaction and the patient's cashless experience.
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Claims Auto-Adjudication Rate
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% of claims processed automatically by the claims engine without manual review.
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Increases speed and lowers the Cost per Claim Processed.
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Claims Processing Accuracy Rate
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% of claims processed without any error (e.g., calculation mistakes, incorrect code matching).
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High accuracy prevents disputes, rework, and compliance issues.
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Man-Hours per Claims Batch
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Labor hours required to process a standardized volume of claims.
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Measures the efficiency and productivity of the processing staff.
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Administrative Cost per Claim Processed
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Total TPA Operating Cost÷Total Claims Processed
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The ultimate efficiency metric; directly tied to profitability and contract pricing.
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Compliance Incident Rate
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Number of regulatory breaches (e.g., privacy violations, mandated TAT failures) per period.
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Critical risk metric; failure can result in heavy fines and contract loss.
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Fraud, Waste, and Abuse (FWA) Detection Rate
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Value of fraudulent or wasteful claims identified and flagged.
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A value-add metric that reduces the loss for the TPA's client (the Payer/Employer).
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Digital Channel Utilization Rate
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% of claims/interactions submitted via TPA's online portal/app vs. paper/manual methods.
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Measures success of digital investment, which lowers future processing cost.
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