tips to ensure your quality program actually improves quality

Plans invest significant resources into HEDIS® measurement and reporting each year with the goal of obtaining high ratings. Once primarily a marketing tool, these ratings—along with strong performance in the many additional quality programs, such as the CMS Five Star program—are increasingly tied to payment.

The primary goal of HEDIS and similar programs has always been to improve the quality of care that individuals receive. However, tighter alignment between quality and payment increases the importance of closing gaps in care.

Our latest infographic provides tips that can help you transform routine quality measurement and reporting activities into a true strategic advantage by proactively influencing quality metrics.

Tips in this infographic include:

  • Leveraging proactive HEDIS runs to benchmark and monitor progress
  • Organizing your team and a communication platform for success
  • Applying best practices to real-world situations

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

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