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Best practices for HEDIS rate improvement

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Doctors having a discussion

Increasing importance on quality measures and HEDIS scores is requiring heath plans to become more proactive and thoughtful when it comes to developing new strategies to boost quality and gain competitive advantage.

Our presentation, “HEDIS rating improvement best practices: partnering across functional areas to improve quality of care for members,” takes you through the core fundamentals to quality improvement. Specifically, we focus on:

  • Integrating chart review programs across the organization to apply year-round chart review activities for Supplemental Data
  • Leveraging risk adjustment charts for quality gaps in care 
  • Using data acquisition for supplemental data
  • Applying prospective results for interventions
  • Utilizing data to create an integrated clinical model within a health plan to drive change in improve outcomes

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Group meetingHEDIS® data optimization strategy session

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Two women walking outside a buildingSetting priorities are critical to creating integrated risk and quailty programs

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Professionals reading reports

Understanding Stars measures can help lay the foundation for a successful Stars management program

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HEDIS activities checklist

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The 10 most significant challenges of HEDIS

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