Higher HEDIS scores and Star Ratings are crucial to achieve full reimbursement and provide your members with the best care experience. In fact, for a health plan with just 100,000 members being evaluated by HEDIS, each quality measure would equate to around $17 million from federal or state agencies, and there are 20-25 measures directly tied to reimbursement. In addition to reimbursement, CMS Star Ratings are directly related to the percentage of HEDIS measures met. This translates to losses or gains in revenue as Star Ratings are something the public is very aware of when shopping for a health plan.
One of the critical components in achieving these measures is the ability to access and use data from systems across the healthcare industry. Giving health plans in-workflow access to the right data and tools to validate information across care activities helps them really focus on outreach and treatment activities to fill real gaps in care and ensure a positive member outcome.
Join us for this webinar to learn how solving the interoperability puzzle benefits your organization and your members.