For years, payers and providers have relied on traditional HEDIS reporting to measure quality performance. But the process is slow, retrospective, and resource-intensive - with meaningful insights often arriving 12-18 months after care delivery ^1,2.

This legacy workflow traps organizations in a compliance-focused cycle. Payers and providers spend months collecting claims, chasing charts, and preparing audit documentation, with limited ability to drive improvement in real time.

That’s why the healthcare industry is moving toward Digital Quality Measures (dQMs). By leveraging FHIR® (Fast Healthcare Interoperability Resources), dQMs standardize and automate quality measurement. Yet, to realize their full potential, organizations need analytics built for speed, scale, and transparency.

That’s where Hyperion™ comes in - Health Chain’s FHIR-native analytics platform, purpose-built to accelerate dQM adoption and usage in healthcare.

Hyperion™ serves as the analytics layer of Health Chain’s FHIR-native Health Data Management Platform. It converts normalized FHIR resources into an enterprise-wide Canonical Data Model – providing consumable measures, claims, clinical, provider and administrative data across analytics and reporting systems.

But Hyperion goes beyond reporting. It ensures payers, providers, and regulators operate from a shared, real-time source of truth - turning dQMs into a live performance tool rather than a retrospective scorecard.

Canonical Data Model
At the heart of Hyperion™ is its Canonical Data Model - a single, unified structure that brings together claims, clinical, measures, provider, and administrative data into a FHIR-native format. Instead of working with siloed and inconsistent data streams, payers and providers gain access to a complete, standardized member record. This ensures that dQMs are evaluated against the entire patient journey, not just fragments of claims or chart data, enabling far more accurate measurement and insight.

Custom Data Marts
Every health plan or provider network has unique quality programs, performance goals, and regulatory obligations. Hyperion™ supports these differences with flexible, custom data marts. By creating analytics environments tailored to specific programs, providers, use cases or measures, Hyperion™ eliminates the costly IT rework that typically comes with program-specific reporting. Instead, organizations can quickly spin up fit-for-purpose environments that deliver actionable insights tailored to each quality initiative.

Audit-Ready Reporting
Audits are one of the most resource-intensive aspects of quality reporting. Hyperion™ reduces that burden with transparent, versioned logic and full data lineage back to the source FHIR resources. Payers and providers can trace every measure calculation, every data element, and every transformation step - giving auditors the confidence they need, while dramatically reducing the compliance workload. Audit preparation becomes a byproduct of daily operations, not a scramble at year-end.

Real-Time Dashboards
Traditional quality reporting delivers results months after the measurement year ends, leaving little opportunity for mid-course corrections. Hyperion™ changes this by offering real-time dashboards that continuously monitor quality performance, care gaps, and provider scorecards. This transforms dQMs from a retrospective reporting exercise into a living management tool. Executives, quality directors, and providers can see where they stand today and take immediate action to improve performance before ratings are finalized.

Stratification & Prioritization
Not all members or providers contribute equally to quality scores. Hyperion™ provides powerful stratification tools that allow users to drill down by member, provider, or measure. This enables quality teams and providers to prioritize the highest-value opportunities - whether that’s a group of members with overdue screenings or a provider network underperforming on preventive care. Instead of spreading resources thin, organizations can focus on the areas that will make the biggest impact.

Provider Alignment Tools
Collaboration between payers and providers is essential for closing care gaps, but it often breaks down when data is unclear or hard to act on. Hyperion™ solves this with shareable scorecards and opportunity lists that give providers the clarity they need on performance. By highlighting specific cohorts of patients and the interventions most likely to improve outcomes, Hyperion™ turns data into a shared playbook for quality improvement.

• Hyperion™ stands apart because it is FHIR-native by design, built on digital-first data models that are fully aligned with the future of dQMs. It isn’t an adaptation of legacy reporting platforms - it’s engineered from the ground up for digital measures.
• It is also action-oriented, going beyond compliance to support real-time quality improvement. Instead of simply checking a box for NCQA or CMS, Hyperion™ provides insights that drive meaningful change in care delivery.
• Trust and transparency are built in. Every calculation is audit-ready, with full data lineage that makes it easy to validate, defend, and continuously improve reporting processes.
• Finally, Hyperion™ is scalable. It works across all lines of business - from Medicare Advantage and Medicaid to commercial programs - ensuring organizations have one consistent approach to quality analytics across the enterprise.

• For payers, dQMs will shorten reporting cycles, reduce manual effort, and improve Stars and HEDIS performance - all while ensuring compliance with regulatory requirements.
• For providers, dQMs deliver real-time insights, reduce administrative burden, and surface actionable alerts for closing care gaps. This empowers clinical teams to improve outcomes while staying aligned with payer quality programs.
• For members, dQMs enable better care coordination, stronger payer-provider collaboration, and ultimately, improved health outcomes. Quality improvement stops being something that happens months after the fact - it becomes something members experience directly in the form of timely interventions, impactful engagement and better care experiences.

Digital Quality Measures represent a fundamental shift - from retrospective compliance to proactive quality improvement. But unlocking their potential requires analytics built for speed, scale, and trust.

Hyperion™ is that engine. With Hyperion™, quality isn’t just reported - it’s improved continuously.

Partner with Health Chain to transform quality reporting from a retrospective burden into a future-proof driver of quality excellence.

¹ https://www.ncqa.org/hedis.

² https://wpcdn.ncqa.org/www-prod/HEDIS-MY-2025-Audit-Timeline.pdf?utm_source=chatgpt.com.