Quality Analytics

Healthcare Analytics for Quality and Performance Improvement

There is a broad range of quality improvement initiatives available—but they are far too numerous and far too costly to blindly pursue all of them. Today’s health plans need a data-driven quality improvement solution to identify targets for closing gaps and improving scores.

Veradigm’s Quality Analytics can help you provide better comprehensive care to your members across medical, dental, pharmacy, and other benefits—and healthier members benefit your health plan.

Proactive Quality Analytics

Veradigm’s Quality Analytics applies precision patient care analytics to health plan members to identify those with open care gaps who are predicted to be included in the denominator of each quality metric.

Create Your Most Efficient Workflow

Veradigm’s Quality Analytics software is not just about identifying what’s wrong; it’s about making things right. Clinical quality analytics helps equip your team with the tools to not only find gaps in care but to close them with precision and confidence.

• Leverage our dashboards and output files to identify those members with open care gaps who are predicted to be included in the denominator of each quality metric.
• Focus your workflow and maximize your efficiency by prioritizing gaps in care according to which gaps will provide the best return for the least effort.
• Generate reports of care gap opportunities in CSV and TXT format for easy data processing or visualization directly within the Quality Analytics dashboards.

Learn More About Veradigm’s Quality Analytics

Integration with Veradigm Payer Insights

At Veradigm, we understand the intricate dynamics of healthcare workflows. That’s why our Payer Insights solution is designed to fit seamlessly into the existing your existing processes without disrupting your familiar workflow.

Payer Insights offers real-time data and analytics that support informed decision-making to close gaps. This integration means that valuable insights are available at your fingertips, exactly when and where you need them.

Learn More About Veradigm’s Payer Insights

Optimize Your Performance for HEDIS® Quality Measure Rating Systems and More

Quality Analytics is a National Committee for Quality Assurance (NCQA) Certified HEDIS® Vendor™*.

Veradigm’s Quality Analytics identifies gaps in HEDIS®, Quality Rating Systems (QRS), Star Ratings, Pharmacy Quality Alliance (PQA) and state-specific quality measures.

• Gain a line of sight into your current performance for Star Ratings, QRS, Medicaid, and other quality measures, with respect to each provider, member, and quality measure.
• Identify your performance potential for addressing those identified gaps in care.
• Maximize your financial impact by targeting interventions according to priority scores.

Improve Your Quality Gap Closure Rate with our Teams’ Subject Matter Expertise

Harness the Quality Analytics team’s subject matter expertise to help you align with HEDIS®, NCQA, CMS, and other quality measures reporting. Optimize your data analysis with strategy sessions with industry experts to help you identify which gaps give you the best return for the least effort and help you identify the ideal intervention method and timeline for closing each of these gaps. In addition, having access to Quality Analytics’ subject matter experts save you the expense of hiring your own analyst.

Check Out Veradigm’s Quality Analytics

* NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA Measure Certification Program™ is a trademark of the National Committee for Quality Assurance (NCQA). HEDIS® is a registered trademark of the of the National Committee for Quality Assurance (NCQA).