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HEDIS  ASSESSMENT

We provide expert process management and analytic services
to help achieve or maintain ratings, accreditations, and performance incentive payment levels.

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Our HEDIS playbook is

a single source tool for cycle process manage-ment and is your unified 

documentation source and repository for all aspects of HEDIS.

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HEDIS  PLAYBOOK

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HEDIS  TRAINING

We conduct training sessions onsite with your team ranging from single topics to comprehensive training programs lead by recognized HEDIS® subject matter experts.

HEDIS  OPERATIONS

We provide expert process management and analytic services to help achieve or maintain ratings, accreditations, and performance incentive payment levels.

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Our Data Decisions Quality Engine (DDQE) is a data profiling tool designed to produce rapid HEDIS® data quality assessments with actionable outputs.

DATA DECISIONS
QUALITY ENGINE
 (DDQE)

We perform a comprehensive assessment of your risk adjustment infrastructure and identify areas of improvement in data collection, processing and flow that negatively affect your risk scores

and suspecting.

RISK ADJUSTMENT

MEDICAL ECONOMICS

We provide expert advanced analytics in areas including medical economics, predictive modeling, outcomes analysis, alternative payment model design and program evaluation.

CMS STAR RATINGS

OPTIMIZATION

We assess a plan’s Star Ratings program and develop effective plans for improvement through enhanced analytics and reporting, vendor management, quality improvement initiatives and proactive strategic planning.