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.
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.
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.
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.
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:
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.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).