Achieve quality compliance, and measure, report, and submit HEDIS and HEDIS-related metrics
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As quality becomes increasingly tied to financial well-being, health plans are seeking better ways to optimize quality improvement programs. From ever-evolving HEDIS® measures and submission requirements, to a long and growing list of other HEDIS reporting needs, such as state-specific, pay-for-performance (P4P), Star Ratings, and custom programs—quality tracking, reporting, and compliance is complex.
90%
of surveyed plans agreed that Cotiviti’s Quality Intelligence software returns value equal to or exceeding their investment.*
A top performer in the 2023 Best in KLAS® ratings for payer quality analytics, Cotiviti’s Quality Intelligence is a measurement and reporting software that helps plans streamline compliance. Quality Intelligence comes fully equipped with our highly flexible and comprehensive user application, Quality Reporter Web (QR Web), and NCQA-certified quality measure logic, setting the standard for efficiency, usability, and customer satisfaction.
With Quality Intelligence, health plans can:
“The seamless experience offered by Quality Reporter Web helps boost our efficiency during medical record review season." — Large nonprofit health plan
>61%
of all members reported to NCQA in 2021 were processed by Cotiviti’s Quality Intelligence software
22
years delivering NCQA-certified measure logic
>90%
HEDIS medical record retrieval average rate and >97% abstractor accuracy rate achieved over the past three HEDIS seasons
of all members reported to NCQA in 2021 were processed by Cotiviti’s Quality Intelligence software
years delivering NCQA-certified measure logic
HEDIS medical record retrieval average rate and >97% abstractor accuracy rate achieved over the past three HEDIS seasons
With Cotiviti’s Quality Intelligence, health plans get a tracking system for keeping an eye on quality compliance and metrics that includes the following benefits:
*Source: TechValidate. TVID: 4A3-012-53E
HEDIS® is a registered trademark of the National Committee for Quality Assurance.
Our Quality Intelligence solution has many features that differentiate it from the competition, such as:
Quality Intelligence is part of Cotiviti’s Quality and Performance solution suite.