Generates streamlined workflows and reports using CMS/HHS HEDIS/Stars/CORE measure algorithms.
Identifies care gaps proactively and highlights them for providers during patient interactions.
Enables providers to efficiently address care gaps.
Empowers organizations to define custom quality measures for preventive care, disease-specific care, outstanding vaccinations, medication adherence, and clinical care gaps.
Compares performance to population health management benchmarks.
Reduces administrative burdens and improves quality outcomes by tracking quality initiatives—from the point of service through claims submission—at the member, provider, and population levels.
Benefits
Reduces administrative burdens and improves quality outcomes by tracking quality initiatives—from the point of service through claims submission—at the member, provider, and population levels.
Displays quality measures by eligible population, compliant/non-compliant members, and the number of members needed to reach the 4- and 5-Star Rating level.
Utilizes claims and encounters, pharmacy, lab, EHR, and supplemental data to ensure all efforts toward quality excellence are captured and reported.
Facilitates through workflows the complete capture of a member’s quality measures, improving the overall score, and assists in achieving high compliance rates.
Reduces administrative burdens and improves quality outcomes by tracking quality initiatives—from the point of service through claims submission—at the member, provider, and population levels.
Displays quality measures by eligible population, compliant/non-compliant members, and the number of members needed to reach the 4- and 5-Star Rating level.
Utilizes claims and encounters, pharmacy, lab, EHR, and supplemental data to ensure all efforts toward quality excellence are captured and reported.
Facilitates through workflows the complete capture of a member’s quality measures, improving the overall score, and assists in achieving high compliance rates.