Quality Management

Your success is dramatically impacted by how well you measure, improve, and report the quality of member care while complying with complex regulatory changes, and managing costs.

We offer a variety of quality management software and services designed to help you balance the complexities and costs associated with administration, regulatory compliance, and member care management.

What you get:

  • Standardized reporting and intervention capabilities help meet HEDIS and CMS Star ratings requirements.
  • Continuous analysis of member, provider, pharmacy, medical, and lab data to identify change in risk.
  • Technology and business environment consulting and implementation expertise.
  • Cost containment opportunities through appropriate management of specialty services vendors.

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