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. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)
Closing gaps in care is a big win for payers, as better care typically means patients are staying healthier which means fewer claims will need to be paid out.
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
Reduce the time spent on quality reporting and submissions by 60%
Spend 30% less time chasing down charts
Reduce the risk of a failed audit and ensure compliance
What It Offers
- HEDIS-like measures
- NCQA P4P Certified MeasuresSM
- NQF and AHRQ measures
- PQRS and CMS MSSP
- Custom quality measures
- HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
- NCQA Measure Certification℠ is a service mark of the National Committee for Quality Assurance (NCQA).