Current Time Inside Cache Tag Helper: 12/5/2023 11:43:20 PM and Model.SegmentId = 323

Payer Quality Measurement and Reporting
 

Vendor solutions used by health plans to measure and report performance on quality of care. Common solution capabilities include regulatory reporting and HEDIS submission, identifying and analyzing gaps in care, and medical record retrieval/review. Advanced capabilities include advanced analytics (predictive analytics, ML, AI), year-round measurement analysis and insights, and member-outreach functions.

Subject Expert
Joe VanDeGraaff
Vice President
KLAS Vice President - Joe VanDeGraaff
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HIT Companies
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Performance Data

Overall Score by Product

Example Payer Quality Measurement and Reporting overall score by product image

Overall Score by Question Topic

Example Payer Quality Measurement and Reporting overall score by question topic image

Provider Facility Size by Product

Example Payer Quality Measurement and Reporting provider facility size by product image

Provider Facility Type by Product

Example Payer Quality Measurement and Reporting provider facility type by product image



Reducing Filters

Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.

This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.

We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.