Optimize Quality of Care Revenue (STARS and HEDIS)

Optimize Quality of Care Revenue (STARS and HEDIS)

Optimize Revenue, Optimize Quality of Care

When opportunity knocks for hospitals and health systems, it usually involves bonus dollars tied to quality improvement. But qualifying for federal and commercial quality incentives means outdoing the competition at rating systems such as NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) measures or CMS’ Star Ratings.

To do that, care delivery organizations health systems need ways to track, monitor, analyze and manage provider and patient performance. They need a care management program.

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Capture HEDIS, Star Rating and other value-based quality revenue

A care management strategy enables complex care management programs that can improve patient outcomes and optimize reimbursements tied to value. Medecision puts care management to work by giving health systems the power to:

  • Aggregate, curate and share data from multiple data sources to capture quality measures and develop a more complete picture of patient and population health
  • Measure data in real time to help meet HEDIS® requirements and Star Ratings performance measures—and to monitor bonus payments for any reimbursement program
  • Implement care management programs with automated workflows to capture care for accurate reporting
  • Automatically generate reports and comply with changing regulations over time

Medecision can help risk-bearing providers meet the top measurements for performance payments—like potentially preventable emergency visits, hospital readmissions, PQI90 and more.

MEDECISION’S ADVISORY SERVICES TEAM OFFERS  EXPLORATORY ASSESSMENTS TO HELP YOU IDENTIFY OPTIONS AND STRATEGIES TO ACHIEVE CLINICAL AND FINANCIAL SUCCESS.

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