HOI™

HEALTH OUTCOMES IMPROVEMENT

Ensuring Quality Compliance and Rate Optimization

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Outcomes Health: We know NCQA HEDIS® measures

Our rate-improvement goals are aligned with yours while you maintain complete control with total project transparency. For instance, when health plans partner with Outcomes Health, they know which providers have been scheduled for the HEDIS® review and when. They know how many medical records have been retrieved, how many have been completed and the compliance status of each member. Once the data is collected, Outcomes Health can conduct outreach and advocacy programs for members to help improve HEDIS® rates.

HEDIS® reporting at your fingertips

Ever wanted to know the status of your HEDIS® project? With Outcomes Health, it’s simple: you see the data when we see the data – at the provider, member and measure levels via our transparent systems and processes.

Outcomes Health’s proprietary Web tools and professional staff combine to ensure transparent HEDIS® reporting solutions on-demand, a system that perfectly captures the status of your HEDIS® project from beginning to end.

Some auditing firms rely on contractors to retrieve and analyze data, potentially missing valuable quality elements. But Outcomes Health’s Clinical Audit Team is made up of nearly 300 clinical auditors, nurses and certified coders, who are specifically trained in NCQA HEDIS® measures. Outcomes Health’s nationwide expertise in all of the HEDIS® measures and in all domains of care assures that your project is delivered on time, meeting high quality compliance standards.

Through our Health Outcomes Improvement (HOI™) services, Outcomes Health conducts more HEDIS® audits and drug safety and efficacy studies than any other health analytics company. Nationwide, we also perform data collection, analysis and reporting for provider-performance measurement, federally and state-mandated quality initiatives, disease-specific audits and customized data-acquisition projects.

Beyond HEDIS® reporting, our process produces quality work throughout several offerings:

  • Health & Quality Measurement & Reporting
  • Provider/Group Level Outcomes Health Reporting
  • State & Federal Quality Reporting Initiatives
  • Drug Safety & Efficacy Studies
  • Disease Specific Audits
  • Customized Data Collection & Audit Projects
  • Credentialing Audits & Site Surveys
  • Accreditation Medical Record Audit