Change Healthcare’s Quality Analytics solutions provide continuous member engagement and quality measurement tools to help you ensure appropriate and satisfactory levels of care. We partner with health plans to help you meet your HEDIS®*, Star Ratings and other quality reporting needs to better manage members’ overall care.
*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Our industry leading suite of Quality Analytics services and solutions is specifically designed to assist health plans and provider groups practice effective quality management. Our platform fully supports HEDIS and Medicare Advantage Stars, as well as state-specific programs, such as CA P4P and IN OMPP.
When combined with our Engagement Solutions, our Quality Analytics and Stars reporting capabilities provide a complete, end-to-end solution for managing your quality programs.
Change Healthcare has decades of experience in calculating, submitting, abstracting, and improving quality scores, including specialized state level measure sets. Each member of our clinical review team specializes in a limited number of measures, ensuring accuracy and success. Our analysts are experts in quality performance and work proactively with their clients, resulting in accurate rate calculations.
We combine provider utilization and financial analytics with quality measures, allowing health plans to review the full picture of provider performance. Providers can access a secure portal for self-service performance evaluation. Information delivered via our web-based client portal empowers decision-making by both providers and employer groups to improve quality and reduce costs.
Our data management team utilizes industry standard best practices for data ingestion processes to map and convert client source data, reducing client technical resources to prepare extract files. We work closely with you to optimize this data for use in quality performance measurement, helping ensure it is accurate, complete, and properly reflects your goals. This level of attention drives optimal quality scores.