Premium Reports
Contact KLAS
 Download Report    Zoom in charts

Preferences

   Bookmark

Related Series

 No Related Series

 End chart zoom
Points of Light 2024 Case Study 7 Points of Light 2024 Case Study 7
* A page refresh may be necessary to see the updated image

Points of Light 2024 Case Study 7
Closing Care Gaps for HEDIS Measures through Natural Language Processing

author - Boyd Stewart
Author
Boyd Stewart
author - Aurene Wilford
Author
Aurene Wilford
 
May 1, 2024 | Read Time: 1  minute

Accurate data is needed for HEDIS reporting, but claims data does not always provide payer and provider organizations with a complete picture of patient/member compliance with Medicaid measures. To mitigate this challenge, the stakeholders in this collaboration created a continuous HEDIS review workflow to triage cases and close care gaps. Outcomes include increased efficiency in identifying care gaps, fewer cases that need to be manually reviewed, and better patient/member care.

to see the full dataset.

If you don't have a login, getting started is easy.

Provider Organizations
Fill out our registration form to verify your organization.
HIT Companies
Contact a KLAS representative for plans and pricing.

Key Findings:

  1. Executive Summary
    • The Collaborators
  2. Points of Friction—Challenges to Be Solved
  3. Action Plan—How the Collaborators Worked Together to Reduce Friction
  4. Points of Light—Outcomes Achieved through Collaboration
  5. Lessons Learned—What Best Practices Can Other Organizations Replicate?
  6. What's Next?—Vision for the Future
author - Natalie Hopkins
Writer
Natalie Hopkins
author - Jess Wallace-Simpson
Designer
Jess Wallace-Simpson
author - Joel Sanchez
Project Manager
Joel Sanchez
 Download Report

This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.

​