HEDIS Performance Measures & Star Rating Support

Collecting and tracking Pay for Performance (P4P) data is not only important for meeting healthcare quality requirements, it's also essential for improving the health outcomes. Envolve works with healthcare organizations to create best practices in population health management, which, in turn, improves P4P measures like HEDIS and Star Ratings.

How Important Are HEDIS Measures?

Using standardized quality measures such as the Health Care Effectiveness Data and Information Set (HEDIS) allows health plans to effectively track year-to-year performance and measure healthcare services and how they are improving the health conditions of members.

CMS Star Ratings for Medicare Programs

The Centers for Medicare & Medicaid Services (CMS) Star Ratings allow Medicare plans to measure their members experience with their health plan, including quality, customer service performance, and health outcomes.

How Does Envolve Help Improve These Scores?

Serving as an extension of your team, Envolve's family of companies are the conduit to your members or patients. We help remind your members of necessary well-visits and can also schedule appointments on their behalf.

Through clinical expertise and demonstrated results, our future-focused program is designed to improve your HEDIS and Star measures and lower your overall medical costs.

Our approach to improving HEDIS and CMS Star performance focuses on providing measurable results through data and analytics, making it easy for your members to access and receive care.

By being your transparent partner, we work with you to create the complete continuum of care.

Leading HEDIS and Star Rating Support Services

Envolve offers a complete suite of services designed to track and report on important aspects of your care program to ensure all areas of performance that may affect HEDIS scores and Star ratings are measured effectively.

Our HEDIS and Star support provide comprehensive care utilizing a combination of reporting software, expert consultants, and additional programs. By employing these initiatives, health plans benefit through:

  • Overall healthcare related costs savings
  • Strategic management of your P4P program
  • Improvement in P4P measurements
  • Increased member or patient satisfaction
  • Increased member access to care and resources
  • Provision of enhanced preventative services to curb major illnesses
  • Improved individual and population health
  • Assistance with navigating the healthcare landscape
  • Decreased amount of inconvenient administrative tasks for you and your team
  • Greater ability to monitor members' need for care

Partner with Envolve to Improve P4P Performance

Through innovative data collection tools, industry-leading software to track performance, and by implementing best practices, Envolve Health has the expertise to help improve compliance with the changing P4P measures that help define your organization.

Learn more about our complete suite of MSO services by contacting Envolve Health today.

 

Contact Us

Send us your information to talk to a representative.

For Member Services and assistance, please contact the telephone number on the back of your Member ID card.