https://store-images.s-microsoft.com/image/apps.56112.93b3d297-d0b6-4e58-9f26-898bbdc3833f.970a9746-46bd-4466-a4ea-f5df7aecac17.8582cad4-41f4-46ed-acdd-1325aff0410f

SCORE+ : HEDIS Performance Management Suite

CitiusTech

SCORE+ : HEDIS Performance Management Suite

CitiusTech

Optimize care management & Improve​ HEDIS Performance

SCORE+ is a quality performance management platform that enables payers to manage their HEDIS programs and drive improvement in HEDIS quality scores. It provides health plans with comprehensive insights that help with risk management, provider engagement and quality improvement.

Solution Focus: Health Plans need to manage regulatory compliance, unnecessary costs and drive improvement in HEDIS quality scores. They need to acquire, exchange and share large volumes of clinical data to get visibility into problem areas and avenues of proactive care. Score+ enables Health Plans to support and sustain quality performance in order to in order to provide appropriate member care and achieve member outcomes. A real-time quality performance management platform that provides powerful features to successfully coordinate multiple regulatory programs and business drivers while leveraging advances in technology to accelerate gap closure, minimize provider abrasion and improve HEDIS compliance to stay one step ahead of the industry.

Key business use cases:
Member 360: Configurable analytical tools & dashboards (including Member 360, Measure 360) to improve decision making and accelerate gap closure​
Charts retrieval & data acquisition and sharing: Enable chart chase, abstraction and Campaign management for managing chases and provider engagement

Score+ Modules:
Measure Engine: Configurable at the speed of business with output that can be audited and available in various formats
Medical Record Review: Integrated MRR with real time compliance update and configurable automated workflow
Submission: Seamless error free submission across NCQA HEDIS®, CMS and other State agencies
Analytics & Reporting: Suite of pre-built, configurable analytics tools, dashboards and rich visualizations

Score+ Advantages:
Near Real-Time Computation: Carry out daily / weekly processing for accelerated coordination and scale at the speed of business
AI/ML Performance Library: Improve quality planning decisions, segmentation, chase intelligence and data enrichment
FHIR Enablement: Available accelerators and expertise for executing FHIR/Interop use cases for ‘gaps in care’ alerts
Optimize Provider Outreach: To increase provider collaboration by identifying the right provider to chase and to close the right gaps
https://store-images.s-microsoft.com/image/apps.15183.93b3d297-d0b6-4e58-9f26-898bbdc3833f.970a9746-46bd-4466-a4ea-f5df7aecac17.ccb7a0e1-09b0-4bc7-94b6-76505ed5f097
https://store-images.s-microsoft.com/image/apps.15183.93b3d297-d0b6-4e58-9f26-898bbdc3833f.970a9746-46bd-4466-a4ea-f5df7aecac17.ccb7a0e1-09b0-4bc7-94b6-76505ed5f097
https://store-images.s-microsoft.com/image/apps.29384.93b3d297-d0b6-4e58-9f26-898bbdc3833f.970a9746-46bd-4466-a4ea-f5df7aecac17.ed08db91-7445-4d63-9c7c-249235fedcfb
https://store-images.s-microsoft.com/image/apps.47659.93b3d297-d0b6-4e58-9f26-898bbdc3833f.970a9746-46bd-4466-a4ea-f5df7aecac17.59c04366-4783-4d16-994a-9a32fadaaf70
https://store-images.s-microsoft.com/image/apps.38404.93b3d297-d0b6-4e58-9f26-898bbdc3833f.970a9746-46bd-4466-a4ea-f5df7aecac17.09e02a04-75e7-4e3a-a85c-91af9a73975a