Every year from January to May, payers and providers gather and analyze data to report on the quality of their care. The challenges associated with HEDIS® can be significant. Efficiency issues such as manual claims analysis, individual chart chases, and a lack of centralized data sources can consume valuable time and resources. Similarly, documentation errors and fragmented engagement with multiple stakeholders pose hurdles for achieving higher HEDIS scores and clinically coordinated care.
How can you take the hassle out of HEDIS? A seamless end-to-end quality management analytics solution enables you to increase staff productivity and engagement, save time, reduce costs, and increase compliance and scores.
Here are three ways analytics can help you with HEDIS reporting and measurement:
#1: Engage providers with irrefutable data
Providers respond to data. When poorly performing providers need to improve, you can engage them in dialogue around that data.
#2: Identify gaps in care early and all year long
Data analytics enables you to run measures prospectively. Rather than waiting until the end of the year when it’s too late, evaluating and engaging providers throughout the year is key to HEDIS success.
#3: Streamline chart chases
When you have multiple systems that don’t talk to each other, chart chases can require significant time and resources. With the right analytics partner, you can rely on one system to do it all—and reduce temp help and vendor costs by as much as 95%.*
MedeAnalytics Quality Management helps you achieve these important HEDIS objectives by empowering you to:
- Focus on timely performance assessments and compliance updates throughout the year
- Monitor the performance of various shared-savings groups and their P4P program performance
- Track measures and add supplemental data in a centralized way
- Gain clear oversight of the process through interactive analytics dashboards
- Assign audit tasks and chart chase follow-ups
Unlocking these data insights helps you and your providers deliver value, bring plan performance into greater focus throughout the year, and increase reimbursement potential—ultimately strengthening your plan’s reputation and financial viability.
*MedeAnalytics client survey. Results may vary. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).