Maximize Quality. Meet Benchmarks. Drive Value.
From Volume-Based Metrics to Value-Driven Success
In the shift toward value-based care, Providers face increasing pressure to deliver high-quality outcomes while managing costs. Programs like MIPS and MVPs tie financial incentives to performance metrics. However, successfully navigating these complex frameworks requires accurate data, seamless reporting, and actionable insights—a challenge for many organizations.
The Challenges in Quality Performance
Lack of Visibility into Performance Metrics
Providers struggle to track performance against quality benchmarks in real time. This limits their ability to identify underperforming areas, implement corrective actions, and optimize care pathways on the fly, before the reporting period ends.
Complex and Evolving Regulatory Requirements
Keeping pace with evolving CMS regulations, such as new MVP frameworks, adds another layer of complexity. Providers must ensure compliance without overwhelming their teams or disrupting care delivery.
Data Gaps and Inaccurate Reporting
Balancing Cost Management with Outcome Improvement
The Challenges in Quality Performance
How We Solve it
Data-Driven Quality Monitoring and Reporting
Our Health Data Management Platform (HDMP) aggregates and standardizes data from disparate sources, ensuring Providers have access to complete and accurate patient records. This transforms reporting for MIPS and MVPs, reducing errors and maximizing financial incentives.
Why It Matters
With Health Chain’s comprehensive quality performance strategy, Providers can achieve:
Regulatory Confidence
Simplify compliance with and adoption of evolving regulatory requirements.
Real-Time Quality Insights
Track performance metrics and implement timely interventions.
Improved Patient Outcomes
Deliver better care while controlling costs and reducing MLR.
Enhanced Value-Based Care Success
Optimize performance in MIPS and MVP programs to maximize incentives.
Perspectives by Health Chain
Leveraging Technology Partners to Accelerate Different Stages of the CDI Value Chain GalleryLeveraging Technology Partners to Accelerate Different Stages of the CDI Value Chain
Health Information and Interoperability, Health IT Digital Transformation, Healthcare Analytics, Healthcare IT Digital Evolution
Leveraging Technology Partners to Accelerate Different Stages of the CDI Value Chain
Clinical Data Integration (CDI) offers tremendous value for health plans, but it's a complex process with diverse needs at each stage.
Data Variability and Standardization: Key Hurdles in Effective CDI
Conquer data variability, the biggest hurdle in CDI! Discover how Health Chain's Centaur™ platform tackles data inconsistencies & unlocks actionable insights for better member care & financial performance.
Demystifying the Maze: A Deep Dive into the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) for Health Plans
The Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) in January 2024.
