Quality Performance Advisor™

An experience-driven analytics solution for payers that want to focus their attention on actionable insights designed to raise rates and successfully meet regulatory requirements to elevate care quality.

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Optimize Quality Programs

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Help increase efficiency with our quality-measurement analytics engine to support HEDIS, Medicare Advantage Stars, and state specific programs.

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Simplify processes with certified rate reporting and analytics, hybrid medical record reviews, and customizable reporting across measures.

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Measure performance through integrated benchmarks and plan targets for retrospective and prospective rate analysis with built-in audit support features and claim level transparency.

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Utilize expert experience with our 13 years of NCQA Certification and Best in KLAS program support to assist payers through the HEDIS Annual Event and throughout the year.

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Help enhance quality and star ratings with our full suite of chart abstraction and retrieval, and member engagement solutions including member education, office visit assistance, and in-home visits for an end-to-end solution.

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Help reduce costs and resources by leveraging our expert data management team that uses client-friendly data ingestion processes to map and convert client source data to prepare extract files.

Actionable Insights

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Quality performance reporting and analysis

  • Compare rates to goals and benchmarks, as well as monitor hybrid rates including negative counts.
  • Review retrospective and prospective reporting, in addition to other key filters such as by provider and member.
  • Explore a member’s quality results with a member detail drill down to rate evidence on our interactive tool.
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HEDIS annual event & submission

  • Depend on our solution which has earned continuous NCQA re-certification since 2005 without exceptions and without re-certification.
  • Help improve HEDIS performance initiatives and workflow processes through actionable insights with an end-to-end integrated analytics solution.
  • Leverage our “Best in KLAS” Payer Quality Analytics and services that are dedicated to improving healthcare quality.
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Rate evidence

  • Access an interactive display of all evidence for a measure, organized for relevancy and impact, including services chosen to ultimately affect compliance.
  • View of all potential data types - supplemental and hybrid data and the value of all data (including labs).
  • Measure impact reporting for audit support and hybrid gap closure initiatives.

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