Quality Analytics

Key features making Qualit8 the most strategic, dynamic, and coordinated solution for closing quality gaps and improving quality scores:

• Predictive models to identify all members who might have an open care gap that would warrant inclusion in the denominator of each quality metric, including those tied to chronic conditions not currently coded and at risk for disease progression, and false negatives not yet recognized by care management
• Dynamic Intervention Planning that incorporates member and provider behavior
• Advanced Analytics for monitoring, measuring, and reporting on each quality metric, and assimilating these data in order to redirect interventions where needed most
• Statistical projections and comparison analyses of client data versus benchmarks to master the relative determination models used in grading plans against one another
• Pulse8’s Qualit8 dashboard suite will allow QM professionals to identify those providers and members with the greatest opportunity, proactively identify trends in measure performance, with drill-downs at each sequential level (e.g. metric system, measure, health plan, medical group, individual provider, and member level)