Case Study

HEDIS Program Revitalization

HEDIS Program Revitalization

Challenges The customer had an operations partner that had been responsible for all HEDIS technical and chart- chase operations, but the customer was concerned about the partner’s performance. Unfortunately, it was the operations partner that maintained the contract with the HEDIS vendor, making the situation even more complex. In addition, the consulting team had not been contacted until late fall, which meant they would need to develop and execute a new HEDIS program within weeks to be successful. In the midst of the assignment, this came to include developing new chart-chase capabilities due to the pandemic. Solutions Change Healthcare deployed consultants to serve as interim HEDIS manager and HEDIS technical lead. The consulting team first assessed and outlined the options for put

Join for free to read