Advalent’s Quality360™ (NCQA-certified) allows payers and risk-bearing providers to measure quality using more than 150 clinical quality measures that span across HEDIS, eCQM and STARS. In addition, the platform deploys predictive analytics to pinpoint and prioritize quality/care gaps and assign the most appropriate member and provider interventions.
Improve quality compliance to drive better clinical outcomes
- Connect all available data sources (both administrative and clinical) to assess complete clinical state of every member
- Identify and prioritize care and quality gaps in addition to attributing them to providers for driving quality improvement programs
- Create actionable list of members and providers to drive care and quality improvements
- Identify provider contract optimization opportunities to enable value-based reimbursement and deploy the right provider collaboration programs
- Out-of-the-box provider attribution and provider performance scoring algorithms along with an ability to configure plan-design characteristics