HOW WE HELP
Quality Management Playbook
Our Quality Management Playbook is a single tool for process management and a unified source for documentation on all aspects of Stars, HEDIS®, and other quality measurement programs
QUALITY ENGINE (DDQE)
Our Data Decisions Quality Engine (DDQE) is a data profiling tool designed to produce rapid HEDIS® data quality assessments with actionable outputs.
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
We provide expert advanced analytics in areas including medical economics, predictive modeling, outcomes analysis, alternative payment model design and program evaluation.
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.
URAC Specialty Pharmacy Audit Services
Health Data Decisions has been selected by the URAC Specialty Pharmacy Accreditation Program to be one of its designated specialty pharmacy measurement auditors.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)
AUDIT SERVICES OFFERED
Assistance with data collection
Review of all key data sources
Assessment of data and technology process
Review of measure calculations
Guidance on rate development
Review of information systems capability assessment tool (ISCA)
Formal audit report and submission to URAC
WHY PARTNER WITH US
Extensive experience with measures
Early identification of issues in your measurement process, saving you unnecessary churn
Accurate and timely reporting of rates
Insight into measure rate improvement strategies
Easy contracting with quick time to engagement
Experience submitting audit reports to state and federal agencies and accrediting bodies