HDD to Deliver Innovative and Data-Driven HOS and CAHPS Strategies to Major Regional Health Plan

A major Southern California Medicare Advantage provider has selected Health Data Decisions to help develop an intensive and focused program to improve member satisfaction and Medicare Health Outcome Survey (HOS) results. This program adds to a growing book of business for HDD within California, which now includes health plans in all regions of the state. HDD will use innovative analysis of historical and comparative survey data as a basis for developing collaborative programs between the health plan and its provider network. The CAHPS and HOS survey tools targeting satisfaction and health outcomes are a substantial part of the Medicare Stars program that reports health care quality to Medicare Advantage members and quality bonus payments to health plans.

URAC selects HDD as a Data Validation Auditor for Specialty Pharmacy Accreditation

URAC has selected Health Data Decisions as a Data Validation Auditor for its Pharmacy Accreditation programs. Health Data Decisions brings a solid analytic approach and extensive experience in health care quality and utilization management to these programs.  “We selected HDD because they will provide high quality data validation services to our clients in a collaborative educational process rather than a punitive one,“ said Marybeth Farquhar, PhD, MSN, RN, URAC’s Vice President of Quality, Research, and Measurement. Health Data Decisions will begin Data Validation Audits as of March, 2018.

HDD retained by two consumer driven health plans to support EDGE server submissions.

Accuracy of EDGE data is key to obtaining maximum risk adjustment payments for both Medicare and Marketplace health plans. Health Data Decisions has partnered with two innovative, consumer driven health plans to build data transformation, validation and error resolution processes for EDGE Server submissions. Improved EDGE server submission has resulted in many fold returns on investment for Health Data Decisions clients. 

HDD to host a beginners' “HEDIS 101” workshop for all RISE HEDIS Quality Summit Attendees

Please join us on Monday, October 16th at the Hyatt Regency, Miami for the Annual RISE HEDIS Quality Summit. Keith Bell, MPH, and Michael Blumental of Health Data Decisions will be leading an interactive educational workshop, joined live via videoconference by Janine Sala of United Health Plan Las Vegas’ clinical team. The 3 Part session, free with registration, runs from 9 am to noon prior to the conference kickoff. Covering the basics of HEDIS as well as some more advanced topics, HDD will use interactive polling, question periods and quiz session to ensure maximum educational value for all participants. If you’re new to HEDIS or want a refresher, don’t miss this session.

HDD to Provide Keynote Address on HEDIS 2018 Changes at the RISE HEDIS Quality Summit October 16th in Miami

Keith Bell, MPH, Director of Quality Improvement and Measurement at HDD will provide an interactive overview of the key changes NCQA has made to HEDIS 2018 specifications. He will go beyond the summaries provided to discuss the real impact that changes to the measures and the general guidelines may have on your rates and how you manage your review. 

HDD retained for 4th year in a row to support and maintain National Hospital Quality Indicators

Health Data Decisions, in partnership with a lead contractor, has been retained for another year to program, maintain and support a suite of 99 Hospital Quality and Safety Indicators for the federal government.

HDD to Lead Roundtable at RISE West September 18-19 at RISE West

Join us at 4PM September 18th, for a special roundtable discussion on year-round HEDIS, tracking, trending and measure projections at the Fairmount Scottsdale Princess. Mike Blumental, CEO of Health Data Decisions, will be leading a discussion for all interested conference participants. If you would like further information about this roundtable, contact us at Info@healthdatadecisions.com for an overview and presentation.

HDD HEDIS Consulting Practice Now Serving Over 6 Million Covered Lives

HDD has been contracted to validate vendor HEDIS extracts by a large regional health plan, using our proprietary Data Decisions Quality Engine Analysis. HDD’s HEDIS consulting and analytic solutions now are used across plans covering 6 million enrollees in 15 states.

HDD HEDIS Clients See Large Improvements in HEDIS 2017 and Stars Rates

HDD clients had another successful year in 2017. Notable improvements among HDD’s stable of health plan clients include:

• A Medicare SNP program moved from 3.5 to 4.5 stars

• A Medicare BCBS plan retained a 4 Star rating while improving across several key measures.

• A BCBS Marketplace plan that saw its rate jump from 1 Star to 3 Stars in just the second year of its joint program with HDD

• A mid-size MediCal Plan improved its rates by 13% over the prior year, the largest gain of any of the MediCal plans in HEDIS 2017.

HDD expands HEDIS practice into Texas and Nevada. 

Health Data Decisions has been hired by a Medicare Advantage plan to improve its HEDIS operations and drive quality improvement efforts to achieve 4 Star by CY 2018. Beginning in March 2017, HDD jumped in mid-season to take over chart review operations and oversee HEDIS production for a plan in its third year of operations. For HEDIS 2018, HDD will help design, execute and measure data improvement and quality intervention strategies intended to improve the plans overall Star Ratings.

HDD co-develops a new Primary Care Payment Model with FMAHealth

Family Medicine for America’s Health, a coalition of family practice provider organizations, has partnered with HDD to develop an innovative primary care payment model that reduces overall cost while improving quality. The model incorporates socio-economic factors, efficiency and quality metrics, as well as traditional risk and claims costs to estimate a prospective global payment. The methodology was developed based on a comprehensive review of value-based payment models in use for primary care across the U.S.

HDD adds a 3rd MediCal plan to the HEDIS client list

HDD will help a MediCal plan validate health plan HEDIS extracts prior to submission to their certified vendor and improve their overall data accuracy using its proprietary Data Decisions Quality Engine.

HDD expands HEDIS clients to Puerto Rico and Hawaii

Health Data Decisions is pleased to announce its HEDIS practice has expanded outside the continental US.  In October 2016, HDD started working on HEDIS consulting, analytics and program oversight roles for one of the largest health plans in Puerto Rico, along with an analytics and data warehouse vendor that provides the majority of healthcare analytics to health plans on the island. In December 2016, HDD was retained by a Medicaid MCO on the Island of Oahu, Hawaii to perform an assessment and analysis of their current HEDIS operations. 

HDD opens new corporate office outside of Boston

Health Data Decisions has opened new offices in West Bridgewater, Massachusetts. It will operate as a central hub for its East Coast staff and IT and administrative team, improving communication and coordination of staff in five states.

HDD launches monthly HEDIS webinar series

HDD has launched a HEDIS Best Practices Webinar series to offer expert information and guidance for clients, prospects and interested parties. After a successful launch attended by over 100 participants from 35 unique health plans, HDD has decided to provide this complementary series on a monthly basis. The interactive webinars are and are provided at 2pm EST, on the third Wednesday of each month.

HDD expands HEDIS client base to California

HDD has been retained by two separate Medicaid health plans in Northern California to review and improve their HEDIS operations. HDD will help drive specific rate improvement in key state MediCal measures that drive auto-enrollment and cap payments.