QUALITY
OF LIFE
CONTROL
ACHIEVE BETTER OUTCOMES
AND MINIMIZE RISK.
HEDIS Data Collection and Submission Management
Measure performance, achieve results. Our HEDIS software platform supports HEDIS reporting submissions and medical record review. We will provide care gap reporting and training along with audit requirements administered through a subcontracted NCQA Certified HEDIS Compliance Auditor and coordinated through AHS.
Plan Specific Quality Measure Monitoring
Move beyond HEDIS. Allow us to track quality measures related to your specific goals in terms of quality, safety, and effectiveness of care. We work with you to identify a set of quality measures such as preventive care, chronic disease management, patient safety, care coordination, or patient satisfaction that align with your objectives and priorities. Once identified, we regularly monitor and evaluate to track your performance against benchmarks and identify areas for improvement. This will help you understand the ‘why’ behind hospitallization and admissions to minimize the activity going forward.
Case Management Application (HRA, Care Plan, ICT Tracking)
Improve your members overall health with HRA (Health Risk Assessment) and Care Plan Operations aimed at assessing individual health risks and developing comprehensive care plans for patients. The HRA process of evaluating an individual’s health status, lifestyle, medical history, etc. will identify any health risks. Care plans, to mitigate these health risks, are personalized, holistic strategies designed to address the specific needs of patients.