HDVI provides targeted and customized solutions for Medicare Advantage health plans looking to maximize their CMS Star Ratings. Our solutions can be bundled with our HEDIS medical record review solution and services, or can be implemented separately, at any point during the measurement year. Medicare Advantage plans need to accurately measure and provide an auditable process that validates the detail of their members’ clinical encounters. HDVI offers the industry’s most comprehensive performance guarantees, covering chart collection, provider relations, abstraction and project completion.
HDVI uses your plan's clinical and risk identification algorithms to more accurately target members and providers, and ensure that detailed clinical encounter data, often only available in the patients chart or (EMR) electronic medical record, is integrated with your administrative health care data to more comprehensively measure plan, provider and member compliance. HDVI through its patent pending Medical Record Collection System (MRCS) delivers complete results to the health plan or any NCQA certified HEDIS vendor. Our platform is vendor agnostic, allowing your plan the technical and software flexibility it requires to achieve its performance measurement and reporting goals. With MRCS’ real time reporting and analytics engine, your team can keep track of rates and chart findings throughout the project, from a laptop or tablet PC.
The importance of STAR Ratings for Medicare Advantage plans cannot be overstated. The short-term revenue impact and long-term trajectory of a Medicare Advantage plan are inextricably linked to STAR Ratings and the bar is only moving higher.
HDVI provides a comprehensive set of analytics and optimization tools for MA plans.
- The MRCS platform provides the tools and reports to ensure real-time insights into each and every numerator hit or miss. It also ensures that improvement opportunities are escalated and action is tracked in a comprehensive fashion.
- HDVI’s HEDIS® teams, especially project managers, are trained and focused on the importance of STAR measures and numerators, and identifying or acting on any opportunities for rate improvements.
- Comprehensive reporting and consulting services allow HDVI to guide clients toward solid, strategic and actionable roadmaps. These roadmaps improving clinical outcomes.