with providers around the quality of care members
receive.
transparency with providers around the
quality of care members receive.
Increase Transparency and Collaboration with Providers
Create a more transparent and collaborative experience when engaging with your provider network
- Take a more pro-active approach to improving quality
- Work together with providers to create better outcomes for members
Create Targeted, Provider-Specific Incentives
Payers have data-backed confidence in the incentives driving higher quality care for their members.
- Identify Provider-Specific Target Areas for Improvement
- Partner with Providers to Create Better Outcomes
More Closely Monitor Provider’s Quality Improvement Efforts
Add and find all Provider details in one single user-friendly application. Monitor the quality improvement progress for each Provider
- Set Performance Benchmarks
- Consolidate Relevant Data
- Track Provider Quality Progress
Customize Measure-Specific Reports
Payers can build customized reports to manage hospitals & measure groups, manage target criteria for each provider and quickly share reports externally.
- Real-time insights
- Provider-facing Quality Report Cards
Effectively Manage the Quality of Care Members Receive
Hospital Quality Management aggregates performance data from various sources in order to establish a level of accountability between Payers and Providers.
- Centers for Medicare & Medicaid Services (CMS)
- The Joint Commission (JTC)
- Healthcare Effectiveness Data & Information Set (HEDIS)
