Maximum%20HEDIS

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Maximum HEDIS

• Getting The Most Out of
• Health Plan Performance Measurement

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What is Maximum HEDIS?

• Getting Every Possible Fraction of a Point for..
• Highest Possible HEDIS rates that represent
  performance
• Lower Costs to deliver Highest Possible HEDIS
  (MRR)
• Maximize HEDIS scores statistically in accordance
  with NCQA specs
• Higher reportable scores Over and Above
  underlying performance changes

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Why Does Maximum HEDIS Matter?

• Market Competition (Low Scores Cost Members)
• Performance Guarantees (Low Scores Cost )
• Narrowing Performance Gap (High Rankings Harder
  to get)
• Indirect Savings (Higher Scores May Offer Relief)
• Accreditation Banding (eg Excellent vs
  Commendable)
• Without Maximum HEDIS, scores lower!

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How to Get the Results You Want

• The Key Sampling Error in Hybrid Measures
• Sampling Error (SE) does NOT come out in the
  wash the effect of SE is profound!
• Adverse SE hurts EVERY plan unavoidable, but
  manageable
• NCQA allows flexibility in sampling options
• Model every allowable option (36) then select
  best
• Complement with a Focused MRR Strategy
• only with MOSES Software

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MOSES The Performance Measurement Toolkit

• MOdeling of Sampling Error Scenarios
• Simultaneously compares all 36 sampling
  alternatives allowed under NCQA
• ANY Hybrid Measure (plus some EOC-Like Measures!)
• Easy requires NO extra work!
• Quick Instant Sample Extracts, Calculations
• Shows MRR and Direct Savings
• Audit Trigger Alert
• Oversample Runs
• HEDIS Sampler Encryption SW included FREE!

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MOSES

• For Further Information about
• MAXIMUM HEDIS with MOSES Software,
• Contact Health Care Quality Metrix at
• HCQM
• 162 Circuit Road
• Boston, MA 02152
• [phone] moses_at_hcqm.com www. hcqm.com