Improve health outcomes and help reduce the cost of care
Rising medical costs, affordability pressure, new reimbursement models, increased regulatory requirements and public reporting tend to drive health plans to increase their focus on quality metrics. By enhancing clinical quality performance, health plans can improve health outcomes and help reduce the cost of care. With a focus on healthcare quality management, health plans can position themselves as a preferred choice for both public sector enrollment as well as members and employers during annual coverage decisions.
An industry-leading quality measurement and reporting solution
Customizable reporting
Organize your data with flexible file input formats, custom fields, custom population configuration, multi-tiered business hierarchies and more.
Robust measures catalog
Access a rich catalog of healthcare quality measures that includes HEDIS, AMP, CMS Adult Core Set and Child Core Set, PQA and various other federal and state program measure sets.
Efficient data processing
We are able to process data quickly because we do not run the entire data set on every data load. We have the ability to process only members who have had a change since the last data load.
Key benefits
Optimize quality program scores and performance.
Trusted partner with NCQA
As an NCQA BETA certification member, we test HEDIS and AMP measures before other vendors and release certified measures to clients first.
Processing and scalability
Our cloud platform supports scalable member-level processing, providing faster turnaround of measure outputs.
Personalized quality support
Get support from a team of experts and a Quality Program Manager who serves as your point of contact for testing and auditor questions.
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E-book
Creating a connected system to improve risk and quality outcomes.
Product information and resources
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Download sell sheet
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Sell sheet
Overview of quality management and reporting
Complementary solutions
Quality data collection and review
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Prospective Solutions
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).