HEDIS® Management

It’s a complex undertaking to better understand member risk factors and proactively manage members as a way to improve quality of care and HEDIS® scores.

Our solution, combining HEDIS methodology with The Johns Hopkins ACG® System, helps you identify member level gaps in care, integrate member risk and resource utilization, and facilitate member/provider communication including:

  • Continuously measure, monitor, and manage HEDIS rates.
  • Run on standard calendar year or any user-defined analysis period.
  • Identify member-level care gaps and integrate predicted risk and resource utilization.

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).