Quality Management

Identify quality improvement opportunities.

As the industry increasingly focuses on quality of care, it’s important for health plans and other payers to implement quality management programs that monitor and support quality care measures. MedeAnalytics Quality Management offers insights that enable health plans to understand performance on quality measures, monitor pay-for-performance, achieve VBP4P and HEDIS® compliance, and ultimately improve quality care for their members.

  • Implement a system of ongoing monitoring of measurable performance indicators

  • Evaluate the results of quality programs

  • Demonstrate compliance with applicable accrediting and regulatory credentialing requirements

  • Monitor activities associated with P4P, HEDIS, and shared savings programs

  • Ensure care meets quality standards and empower providers to improve quality results

  • Capture supplementary data with smart chases

  • Aggregation

    Reporting capabilities enable you to improve performance associated with HEDIS, P4P, Medicare Star Ratings, shared savings programs, and other quality measures.

  • Interpretation

    With insights into quality management programs, you can identify gaps in care and ensure providers meet quality of care standards.

  • Transformation

    With hundreds of performance requirements from multiple governing bodies, you can reduce administrative complexity and standardize the process across multiple measures.

MedeAnalytics Quality Module is NCQA Certified for HEDIS 2017 for all measures.

MedeAnalytics Quality Module is NCQA Certified for HEDIS 2017 for all measures.

MedeAnalytics Quality Module is NCQA Certified for HEDIS 2016 for all measures.

MedeAnalytics Quality Module is NCQA Certified for HEDIS 2016 for all measures.

MedeAnalytics Quality Module holds NCQA Certification for all measures for HEDIS 2015.

MedeAnalytics Quality Module holds NCQA Certification for all measures for HEDIS 2015.

MedeAnalytics Quality Module holds NCQA Certification for all measures for HEDIS 2014.

MedeAnalytics Quality Module holds NCQA Certification for all measures for HEDIS 2014.

What It Offers

  • NCQA HEDIS Certified MeasuresSM
  • HEDIS-like measures
  • NCQA P4P Certified MeasuresSM
  • NQF and AHRQ measures
  • PQRS and CMS MSSP
  • Custom quality measures
Questions? Talk to one of our experts. Contact us