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Artificial Intelligence and Advanced Analytics – The Key To Unlocking Actionable Insights For Health Plans

In Artificial Intelligence, Care Coordination, Quality Management by Mike Grover

Healthcare changes are making managing member care more challenging. A rocky regulatory environment and rising costs require rigorous vigilance over acuity and activity among member populations to effectively deliver real-time insights and proactive interventions. For health plan executives, Medical Directors, Quality and Clinical leaders, it’s critical to find new ways to achieve higher quality scores and lower costs while improving …

Vital Data Technology Achieves HEDIS® Certification for 5th Consecutive Year

In HEDIS Quality Management, News, Press, Quality Management by Marketing

NEWPORT BEACH, Calif.–(BUSINESS WIRE)–Vital Data Technology, LLC (www.VitalDataTech.com) is among the few early achievers to obtain full certification for all 2018 HEDIS® measures by NCQA (The National Committee for Quality Assurance). The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. HEDIS consists of 81 measures plus certification of “systematic sampling” (4 of the 81 measures) across 6 domains (Effectiveness of Care, Access/Availability of Care, Experience of Care, Utilization and Risk Adjusted Utilization, Health Plan Descriptive Information, and Measures Collected Using Electronic Clinical Data Systems). HEDIS makes…