Case Study: Midwest Health Plan

Midwest Health Plan used our HEDIS solution to implement year-round compliance tracking and analysis. The plan proactively identified quality issues well before the NCQA submission deadline and engaged members and providers in its quality improvement processes. The year-round efforts resulted in improved compliance across the board. The plan raised its NCQA ranking and gained a competitive advantage in the Medicaid Managed Care Market. To learn more, read the Midwest Health Plan Case Study.

The Solution: HEDIS Reporting

Features

  • View, query and measure HEDIS data using customizable filters and drills
  • Report HEDIS administrative and medical record data quickly and easily
  • Develop custom measures for your own clinical reporting initiatives 
  • Secure SaaS platform that facilitates the communication, planning and project management of HEDIS measure production
  • Engage members and providers with customizable outreach letters and performance score cards

Benefits

  • Improve compliance with HEDIS measures and other quality metrics
  • Increase health plan ranking and demonstrate value to consumers
  • Streamline the NCQA data submission process
  • Develop, implement and measure quality and compliance programs

Next Steps

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