HEDIS

Background

Delve into the world of Healthcare Effectiveness Data and Information Set (HEDIS) with our in-depth subject matter experts. Demystify the continuous improvement efforts needed to accuracy, transparency, and compliance with the latest updates surrounding HEDIS measures and Health Equity.

Welcome to our cutting-edge HEDIS Consulting Services! At CareOne Consulting, we understand the intricate landscape of HEDIS compliance and improvement, and we're here to empower you with tailored solutions that optimize your HEDIS scores and performance.

Our comprehensive HEDIS consulting services are designed to elevate your organization's capabilities, ensuring compliance, accuracy, and efficiency in every aspect of HEDIS reporting and score improvement.

Key Ways Our Clients Utilize Us:

HEDIS Performance Enhancement: Leveraging our expertise and experience, we help you identify opportunities for improvement and implement strategies to maximize your HEDIS scores, ultimately enhancing your overall performance and reputation.
Quality Measure Optimization: Our team conducts thorough evaluations of your quality measures, pinpointing areas for enhancement and providing actionable recommendations to drive measurable improvements in HEDIS outcomes.
Data Management and Analysis: With a focus on data integrity and accuracy, we assist in streamlining your data collection, aggregation, and reporting processes, ensuring that your HEDIS submissions are comprehensive, reliable, and audit-ready.
Provider Engagement and Education: We work closely with your provider network to promote understanding and adherence to HEDIS requirements, offering education, training, and support to ensure consistent and accurate documentation and reporting practices.
Performance Monitoring and Reporting: Through advanced analytics and reporting capabilities, we track your HEDIS performance over time, providing valuable insights and performance metrics to guide strategic decision-making and continuous quality improvement efforts.

Join the ranks of health plans, provider groups, and healthcare organizations that have experienced the positive impact of our HEDIS consulting services. Let us be your trusted partner in achieving HEDIS excellence, driving quality improvement, and enhancing patient care outcomes.

Related Insights

3/20/24

Comparing HEDIS performance of Dual Eligible SNPs with other coverage types for duals

No prior study has examined clinical quality of care for dually eligible individuals across D-SNPs, non–D-SNP MA plans, FFS Medicare with a stand-alone prescription drug plan.

1/25/24

Humana posts $541 million loss in Q4, blames high Medicare Advantage costs

Humana's stock dipped following the earnings report, prompting the organization to cut its earnings guidance for this year and next.

1/5/24

US managed care companies lagged behind other insurers, S&P 500 in 2023

Shares of US managed care carriers generally underperformed other types of insurers and the wider market in 2023

10/24/23

Three quarters of ACOs in direct contracting model earned savings

The Global and Professional Direct Contracting Model is now ACO REACH.

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