With Precision, Quality Ratings Go Up
Nearly every aspect of your plan’s performance is driven by quality imperatives, including clinical outcomes, quality ratings, HCC reimbursements, and regulatory or accreditation compliance. The HEDIS and Star programs have made it clear what health plans need to do to achieve critical, high-quality ratings:
- Close Care Gaps
- Increase Member Satisfaction
- Increase Member Engagement and Treatment Adherence
Health Integrated does all of these for our clients. Our Precision Empowered Care Management solutions have demonstrated improved clinical measures while delivering member satisfaction. In doing so, our clients have experienced improved Star ratings and HEDIS scores in today’s heavily regulated marketplace.
Quality Improvements Reported by Our Clients:
- 10 – 40% decrease in inpatient stays*
- 10 – 25% decrease in ER visits*
- 40 – 50% increase in physical exams
- 15 – 20% increase in wellness visits
- Up to 300% increase in engagement of high-risk members
- 80 – 96% positive member satisfaction rate
*Improvement relative to matched comparison cohort by reducing inappropriate utilization.
Are you ready for results?
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