Analytics for HEDIS and ACO: Transforming Healthcare

Last updated:
12:48pm Apr 03, 2020

Value-based Care

A key component of value-based care is performance management. Payers need to measure the quality and effectiveness of the care healthcare professionals provide to 1) determine the amount they should be reimbursed for their service, 2) identify patients who are at risk and 3) proactively manage the health of their members.

HEDIS quality measures are managed by the NCQA (National Committee for Quality Assurance) and they are "used by more than 90% of America's health plans to measure performance on important dimensions of care and service."

I am sharing here a brief 15 minute video that is an educational session on what you should look for in your analytic toolkit for HEDIS and healtcare quality measure - 4 components you can see in the video:


Additionally here is an example of an implementation in TIBCO Spotfire:


And an example of an implementation in TIBCO Data Science - Statistica: