Proactive Reporting

A HEALTHCARE ANALYTICS TEAM BUILT ON QUALITY AND RESULTS

Over the past few years, with the introduction of the federal Pay-for-Quality initiatives to stem the rising cost of health care while improving its quality, DHS Group started offering HEDIS Proactive Reporting. This service provides health plans with the strategies and tools to intervene early and often to ensure members are getting the care they need by the appropriate provider in a timely manner. This product has proven to be so valuable that all of our clients are adopting it.

  • Health Plans will be able to identity GAP in care and non-compliant members or providers with low compliance.
  • Health Plans may utilize several CHART Packs to use as Quality Improvement and Intervention Tools that span from Member Outreach to Provider Outreach.
  • Health Plans will be able to pinpoint which provider needs to prop up their HEDIS rates and what members are not getting the care they need according to the HEDIS specification.
  • Health Plans will be able to use the Proactive HEDIS solution to incentivize high performing providers and penalize low performers.

Download our HEDIS info sheet

Regulatory Reporting

A Healthcare Analytics Team Built on Quality and Results

DHS Group Health Plan Solutions are focused on assisting healthcare organizations with data optimization for performance assessment and regulatory compliance reporting using industry standard metrics such as HEDIS®, URAQ and AHRQ.

To do so, DHS Group has developed a team dedicated to meeting the needs of these healthcare organizations that are required to report rates by the state, federal government (the Centers for Medicaid and Medicare Services) and other vendors.

HEDIS Reporting: The Essence of DHS Group

Healthcare Effectiveness Data and Information Set (HEDIS) is an industry-wide performance measurement tool that offers a standard by which health plan performance can be compared effectively and uniformly and also offers a way health plans can elevate programs.

To do so, DHS Group has developed a team dedicated to meeting the needs of these healthcare organizations that are required to report rates by the state, federal government (the Centers for Medicaid and Medicare Services) and other vendors.

Data Optimization and the HEDIS Auditing Process

DHS Group has provided HEDIS-related services since 1997, and for nearly 20 years, our reporting practice has never stopped evolving as we’ve adopted the latest technological insights to optimize our core service. The DHS Group team understands the HEDIS auditing process from all angles, as it’s comprised of professionals with experience from the client, vendor and auditor side of the business.

The DHS Group HEDIS team believes in a hands-on approach to HEDIS reporting and consulting services that are cost-effective, save time, and produce higher HEDIS scores as well as better compliance for clients.

Download our HEDIS info sheet

Boosting HEDIS Scores and Clients’ Bottom Line

The DHS Group Health Plan Services Team takes raw data, polishes and scrubs it, and leverages it in a way that increases the bottom line for healthcare organizations. The DHS Group team also consults clients by assisting them in setting goals that are tied to their reimbursement.

DHS Group HEDIS solutions are customized to suit the specific needs of each client. Typically, these solution packages include one or more of the following DHS Group HEDIS reporting services and assist clients in achieving ongoing HEDIS compliance:

  • Performance metrics production from basic run to full outsource solutions
  • Full outsource IT solutions including raw data transfer, data mapping, data loading, and data optimization
  • Custom business intelligence solutions and dashboard design
  • Medical record review and tools
  • HEDIS training and proficiency testing
  • HEDIS Audit preparation and mock-audits
  • HEDIS rate analysis, consulting, benchmarking and consulting for rate improvements
  • Quality improvements interventions design and assessment
  • Provider profiling for quality and efficiency markers

HEDIS® is a registered trademark of The National Committee for Quality Assurance.