Data-Driven Insights. Smarter Care Strategies. Superior Ratings.
Driving Quality Performance to Elevate HEDIS Scores and Star Ratings
For Health Plans, Star Ratings and HEDIS scores are not just benchmarks; they’re critical indicators of care quality and member satisfaction. However, achieving and sustaining high performance requires tackling fragmented data, effective engagement with members and providers, and an ever-evolving regulatory landscape.
The Challenges Health Plans Face in Quality Improvement
Why It Matters
Improving quality performance impacts every facet of Health Plan success
Increase Member Retention
High ratings attract and retain members.
Enhance Member Outcomes
Close care gaps to deliver better, more timely care.
Ensure Compliance
Stay aligned with regulatory standards and avoid penalties.
Boost Financial Rewards
Quality scores influence incentive payments & contracts for Payers & Providers.
Perspectives by Health Chain
Leveraging Technology Partners to Accelerate Different Stages of the CDI Value Chain GalleryLeveraging Technology Partners to Accelerate Different Stages of the CDI Value Chain
Health Information and Interoperability, Health IT Digital Transformation, Healthcare Analytics, Healthcare IT Digital Evolution
Leveraging Technology Partners to Accelerate Different Stages of the CDI Value Chain
Clinical Data Integration (CDI) offers tremendous value for health plans, but it's a complex process with diverse needs at each stage.
Data Variability and Standardization: Key Hurdles in Effective CDI
Conquer data variability, the biggest hurdle in CDI! Discover how Health Chain's Centaur™ platform tackles data inconsistencies & unlocks actionable insights for better member care & financial performance.
Demystifying the Maze: A Deep Dive into the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) for Health Plans
The Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) in January 2024.
