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
Reporting capabilities enable you to improve performance associated with HEDIS, P4P, Medicare Star Ratings, shared savings programs, and other quality measures.
With insights into quality management programs, you can identify gaps in care and ensure providers meet quality of care standards.
With hundreds of performance requirements from multiple governing bodies, you can reduce administrative complexity and standardize the process across multiple measures.
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