Data Governance

Data governance is one of the top 5 strategic initiatives for organizations in 2020. Since technology trends such as Machine Learning and AI rely on data quality, and with the push of digital transformation initiatives in the healthcare space, this trend is likely not going to change any time soon.

We can help drive rate improvement through enhanced and improved data governance tools and review to eliminate data leakage and anomalies that often overlooked.

Too often management of HEDIS® drives the priorities of a health plan versus the health plan driving HEDIS®. Our HPT Tool (link to Solutions page) enables plan to manage their HEDIS® project enabling them to focus on the priorities of rate improvement and strategy and less time on the day to day struggles of HEDIS® management.

Rate improvement comes from better analytics. Our HPT Tool (link to Solutions page) coupled with the deep expertise of our analytics consultants provides health plans with strategic guidance and subject matter level expertise required to perform at the highest levels.

We use deep chart analytics and years of HEDIS® Chart Chase Selection strategies to improve your overall medical record retrieval, abstraction and overread project. We’ll work with you to enhance your retrieval completion percentages, meet NCQA/audit requirements, retrieval and abstraction integration and strategic oversight of each phase of the process.