Advalent 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 most appropriate member and provider interventions.
GENERATE SUPERIOR ROI FROM YOUR QUALITY IMPROVEMENT PROGRAMS
Ensured high predictive accuracy by deploying hundreds of quality measures and related advanced analytics by applying various advanced statistical methods.
ENABLE INTEGRATED QUALITY, RISK ADJUSTMENT AND POPULATION HEALTH PROGRAMS
Integrate quality/care gaps and potential adverse events (ER utilization, readmissions, preference sensitive treatments etc.) and drive provider engagement to improve plan-level clinical and financial performance.
DRIVE SUSTAINABLE CLINICAL IMPROVEMENTS
Significantly improve network efficiencies by leveraging top performers and supporting low-performing providers through varied provider collaboration strategies.
DEPLOY THE PROVIDER INCENTIVES/DISINCENTIVES
Proprietary analytical models enable decision makers to identify suitable value-based reimbursement strategies that improve clinical quality significantly.
ENHANCE COMPLETE FINANCIAL AND CLINICAL PERFORMANCE
Enhance provider performance by providing targeted recommendations via performance reports to drive continuous clinical and financial improvements.