Quality Program Assessment

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

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

Expert Training

Our subject matter experts create and conduct personalized training for your team on quality analytics, operations, measurement, and reporting.

Health Care Data Operations

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

DATA DECISIONS
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.

RISK ADJUSTMENT

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.

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.

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

We consult, advise, analyze, strategize, inform, suggest, recommend and webcast our
diverse points of view. 
We invite you to look, listen, agree, disagree and talk back.

Call us for more info
(781) 718-2118

© 2020 Health Data Decisions

Proudly created with Wix.com