HEDIS & Star
360Measures® is fully NCQA certified and provides an end-to-end, one-stop solution for all HEDIS® and Star needs. 360Measures® positions healthcare organizations for success, taking a holistic approach that combines HEDIS®, Star and other quality measures, care gaps, surveys, administrative data and predictive modeling.
Key Features:
- Complete, integrated administrative and hybrid measures approach for annual HEDIS® and Star filings.
- Medical chart review scheduling, prioritization and project management, including embedded chart review tool and automatic upload of chart abstracts.
- Certified nursing personnel for hybrid measure medical chart review process.
- Unique real-time data aggregation, cleansing and analysis. Utilizes prebuilt connectors to collect information from multiple existing systems. Targeted data sets include medical claims, pharmacy, laboratory, eligibility, practice management, hospital and EMR.
- Year-round runs and tracking of HEDIS®, Star and other care gaps. Early detection of uncoordinated care helps facilitate interventions and remediation and prevent the year-end fire drills and surprises that have plagued the industry.
- Creates 360 degree view of the member, complete with individual care gap and clinical profile.
- Runs HEDIS® and Star campaigns for specific measures by line of business.
- Intuitive workflow tools and correspondence generation for easy member contact and provider remediation of care gaps
- Robust real-time dashboard and reporting for HEDIS® and Star metrics. Ongoing snapshots that include a tailored set of performance baselines and progress toward meeting specific line-of-business measure targets.
- Advanced Technology: Visually intuitive and 100% web-based, 360Measures is HIE-ready, ICD-10 compliant and delivered in a highly secure manner.
- Comprehensive Provider Profiling and Report Cards for Pay for Performance programs.
- Predictive modeling, risk scoring and stratification.