HEDIS^®

HEDIS is an acronym for Healthcare Effectiveness Data and Information Set, which consists of over 70 measures, developed by the National Committee for Quality Assurance (NCQA) to evaluate the quality of healthcare services provided by payers and providers to over 191 million Americans.

Our lead consultant has over 2 decades of experience auditing and optimizing reporting of quality measures, including HEDIS. HEDIS measures are reported by commercial, Medicare, Medicaid, and Exchange health plans. To comply with public reporting requirements, health plans must undergo an annual audit, conducted by an NCQA Certified HEDIS Compliance Auditor (CHCA) working under the guidance of a licensed audit organization.

Through collaborations with clients, we leverage exceptional strategic management skills with in-depth knowledge of health plan operations and health information systems and standards to increase the cost-effectiveness of clinical quality and population health interventions and metrics reporting.