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. 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.
— Analytics Consultant
  • 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

  • Improve Efficiency

    Reduce the time spent on quality reporting and submissions by 60%

  • Increase Productivity

    Spend 30% less time chasing down charts

  • Mitigate Risk

    Reduce the risk of a failed audit and ensure compliance

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

  • 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).
Questions? Talk to one of our experts. Contact us