OVERVIEW

Data-powered insights for improved quality performance

Data silos, outdated technology and antiquated reporting systems can leave plans struggling to meet regulatory reporting requirements, analyze trends and monitor progress

Our NCQA-certified Quality360™ HEDIS® solution brings the power of an advanced technology platform together with a suite of analytics capabilities, flexible reporting and data integration. It’s built to support end-to-end management of chart retrieval and data collection, gap chasing, data abstraction and analytics to help close gaps

CAPABILITIES

An all-in-one solution to power performance

Optimize and automate reporting, scorecards, chase completion and more. Quality360™ looks retroactively to define prospective activities and evaluate performance. Built around chart retrieval, gap chase, and data abstraction, our solution delivers more than others in the market

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Close gaps

  • Identify and prioritize care and quality gaps
  • Attribute gaps to providers
  • Integrated medical record review with a modern, seamless compatibility
  • Member and claim-level insights for targeted interventions
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Powerful reporting

  • Comprehensive, configurable reporting suite
  • Analytical tools and dashboards
  • Visualizations for more actionable data
  • Measure scorecard and chase completion summary
  • Accelerated processing and reporting to meet submissions deadlines with confidence
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Better analytics

  • End-to-end approach to consistently capture full cycle of quality performance
  • Simplify data collection for prospective and retrospective needs
  • Generate actionable lists of members and providers
  • Intuitive medical abstraction templates
  • Automated retrieval of missing medical records, improving accuracy and efficiency
  • Integrated data to track quality measures from multiple sources

BENEFITS

Configurable tools, dashboards and more

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NCQA certified

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Simplified HEDIS® reporting with streamlined workflows and data integrity tools

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Advanced analytics including future trends and industry benchmarks, flexible sampling, chase management and integrated medical record review

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Integrates with existing data from multiple sources

Manage regulatory reporting and accelerate gap closure. Our configurable Quality360™ HEDIS® solution delivers insight-driven quality improvement that enables providers and plans to drive efficiency

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Certified HEDIS® measures

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HEDIS® report data retrieval rate

Let’s unburden your health plan today

Reach out to discover how our innovative solutions can help unburden your plan and streamline operations. Together, we’ll elevate your business to new heights

CONTACT US
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SOLUTION GROUPS

Featured Quality and Stars solutions 

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Stars Consulting Services

Own and control your Star ratings with flexible consulting options from one-time analysis through full action plans with access to a suite of Stars improvement initiative expertise and reporting, modeling, and forecasting tools

HEDIS®

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)