Products and Services

Improve My Quality Measure Rates
Quality Operations Management
Full service management and optimization of quality programs including rate improvement, member experience, vendor management, medical record review, submission support, audit support and training
Rapid Quality Assessment
Comprehensive evaluation of quality programs with focus on HEDIS® operations, quality improvement, member experience and operational integration
Member Experience Measurement and Improvement
Monitor and predict your experience measure rates with proprietary metrics and customized analytics, target and improve the processes that influence member experience
eQuaFive™
Quantify the impact of social determinants of health on quality performance and identify opportunities to improve health equity
Quality Data System Transition Planning and Management
Operational and technical support for system migration including rate continuity, ETL mapping, data quality, organizational readiness and vendor selection
DDQE
Data quality and completeness profiling tool to measure and improve accuracy of data used for quality measures
Digital Quality Measure Transition
Framework to ease the transition to digital measures including data integration, roadmaps and tools needed for a true ROI
Value-Based Payment Development and Evaluation
Alternative payment models, frameworks and program evaluations for primary care, cardiac surgery and orthopedics
Health Economics Data Modeling and Forecasting
Medical expense and utilization trend analysis and forecasting, clinical intervention effectiveness, disease progression modeling

Improve My Medicare Star Ratings
CMS Star Rating Program Optimization
Full service management and optimization of Stars programs including rating projections, HOS and CAHPS strategy, vendor management and integration, data analytics and measurement
SCO and PACE Program Optimization
Analytics to improve Stars and risk adjustment programs for SCO and PACE plans with focus on quality programs, revenue optimization and projection, operational integration and undocumented risk
Medicare Stars Modeler
Forecast Star ratings, evaluate future impacts of plan performance and regulatory updates, and identify risks and opportunities
eQuaFive™
Quantify the impact of social determinants of health on quality performance and identify opportunities to improve health equity
Member Experience Measurement and Improvement
Monitor and predict your experience measure rates with proprietary metrics and customized analytics, target and improve the processes that influence member experience
DDQE
Data quality and completeness profiling tool to measure and improve accuracy of data used for quality measures
Quality Data System Transition Planning and Management
Operational and technical support for system migration including rate continuity, ETL mapping, data quality, organizational readiness and vendor selection
Digital Quality Measure Transition
Framework to ease the transition to digital measures including data integration, roadmaps and tools needed for a true ROI
Health Economics Data Modeling and Forecasting
Medical expense and utilization trend analysis and forecasting, clinical intervention effectiveness, disease progression modeling

Improve My Members' Experience
Member Experience Measurement and Improvement
Monitor and predict your experience measure rates with proprietary metrics and customized analytics, target and improve the processes that influence member experience
CMS Star Rating Program Optimization
Full service management and optimization of Stars programs including rating projections, HOS and CAHPS strategy, vendor management and integration, data analytics and measurement
eQuaFive™
Quantify the impact of social determinants of health on quality performance and identify opportunities to improve health equity
Value-Based Payment Development and Evaluation
Alternative payment models, frameworks and program evaluations for primary care, cardiac surgery and orthopedics
SCO and PACE Program Optimization
Analytics to improve Stars and risk adjustment programs for SCO and PACE plans with focus on quality programs, revenue optimization and projection, operational integration and undocumented risk

Optimize My Risk Score
Rapid Risk Adjustment Assessment
Comprehensive evaluation of risk programs with focus on revenue optimization and projection, operational integration and undocumented risk
SCO and PACE Program Optimization
Analytics to improve Stars and risk adjustment programs for SCO and PACE plans with focus on quality programs, revenue optimization and projection, operational integration and undocumented risk
Health Economics Data Modeling and Forecasting
Medical expense and utilization trend analysis and forecasting, clinical intervention effectiveness, disease progression modeling
Value-Based Payment Development and Evaluation
Alternative payment models, frameworks and program evaluations for primary care, cardiac surgery and orthopedics

Improve Equity in Healthcare
eQuaFive™
Quantify the impact of social determinants of health on quality performance and identify opportunities to improve health equity
Member Experience Measurement and Improvement
Monitor and predict your experience measure rates with proprietary metrics and customized analytics, target and improve the processes that influence member experience
Value-Based Payment Development and Evaluation
Alternative payment models, frameworks and program evaluations for primary care, cardiac surgery and orthopedics
Digital Quality Measure Transition
Framework to ease the transition to digital measures including data integration, roadmaps and tools needed for a true ROI
Rapid Quality Assessment
Comprehensive evaluation of quality programs with focus on HEDIS® operations, quality improvement, member experience and operational integration
Health Economics Data Modeling and Forecasting
Medical expense and utilization trend analysis and forecasting, clinical intervention effectiveness, disease progression modeling

Predict the Future
Medicare Stars Modeler
Forecast Star ratings, evaluate future impacts of plan performance and regulatory updates, and identify risks and opportunities
Member Experience Measurement and Improvement
Monitor and predict your experience measure rates with proprietary metrics and customized analytics, target and improve the processes that influence member experience
Health Economics Data Modeling and Forecasting
Medical expense and utilization trend analysis and forecasting, clinical intervention effectiveness, disease progression modeling
Value-Based Payment Development and Evaluation
Alternative payment models, frameworks and program evaluations for primary care, cardiac surgery and orthopedics
Rapid Risk Adjustment Assessment
Comprehensive evaluation of risk programs with focus on revenue optimization and projection, operational integration and undocumented risk

Train My Team
Health Care Quality Education Training and Mentoring
Customized training programs to ensure that your staff has the skills and knowledge to effectively manage quality and clinical analytics
Quality Operations Management
Full service management and optimization of quality programs including rate improvement, member experience, vendor management, medical record review, submission support, audit support and training
CMS Star Rating Program Optimization
Full service management and optimization of Stars programs including rating projections, HOS and CAHPS strategy, vendor management and integration, data analytics and measurement
SCO and PACE Program Optimization
Analytics to improve Stars and risk adjustment programs for SCO and PACE plans with focus on quality programs, revenue optimization and projection, operational integration and undocumented risk
Digital Quality Measure Transition
Framework to ease the transition to digital measures including data integration, roadmaps and tools needed for a true ROI

Validate My Data
DDQE
Data quality and completeness profiling tool to measure and improve accuracy of data used for quality measures
Quality Data System Transition Planning and Management
Operational and technical support for system migration including rate continuity, ETL mapping, data quality, organizational readiness and vendor selection
Digital Quality Measure Transition
Framework to ease the transition to digital measures including data integration, roadmaps and tools needed for a true ROI
Quality Operations Management
Full service management and optimization of quality programs including rate improvement, member experience, vendor management, medical record review, submission support, audit support and training
Health Economics Data Modeling and Forecasting
Medical expense and utilization trend analysis and forecasting, clinical intervention effectiveness, disease progression modeling
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)