Tag Archives: HEDIS

HEDIS season preparation: Are you confident in your HEDIS retrieval chase logic?

HEDIS Medical Record Review season is right around the corner. Once a production chase file is dropped, it can be difficult to make changes. Every active field day matters, so in this post we’ll discuss maximizing your time in the field via proactively addressing your chase file. Here are some steps to consider taking. Execute […]
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The 10 most significant HEDIS challenges

Improving quality measures and HealthCare Effectiveness Data and Information Set (HEDIS®) scores is becoming increasingly important to improving Star ratings and bottom-line performance. But to boost HEDIS scores and gain competitive advantage, health plans must be aware of the challenges and the strategies necessary to meet them. The 10 most significant HEDIS challenges and strategies: […]
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Keys to managing the top 10 HEDIS challenges

A health plan’s Star Ratings and bottom-line performance depend heavily on improvements made to quality measures and Healthcare Effectiveness Data and Information Set (HEDIS®) scores. The key to boosting HEDIS scores and gaining competitive advantage is to be proactive and meet its challenges head on. But what exactly does that mean? We’ve identified the top […]
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Five best collaboration strategies to improve HEDIS rates

There are many ways to measurably improve HEDIS rates and the quality of care of members. The true challenge is navigating the various barriers that can delay your journey to get there. Without a doubt, collaboration is the difference between higher and lower HEDIS rates. The more effective the collaboration — and integration — the […]
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