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
Best in KLAS Category
Recent Insights
Key Findings:
- Merger’s Impact on Healthcare Industry a Top Concern
- Most Customers Don’t Plan to Change Engagement
- Customers Want Vendor Leadership to Improve Payer/Provider Relationship
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Performance Data
Overall Score by Product
Overall Score by Question Topic
Provider Facility Size by Product
Provider Facility Type by Product
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.