Health Dialog’s Latest HEDIS and Stars Support Program Drives Improved Clinical Outcomes and Addresses Critical Quality Measures for Health Plans
Customized approach delivers impactful solutions that raise ratings
BOSTON--(BUSINESS WIRE)--Health Dialog today announced the latest version of their HEDIS and Stars support program to help health plans successfully navigate today’s healthcare challenges and improve their quality scores. The program offerings include a framework for the development of implementation strategies that improve clinical outcomes.
“Healthcare reform has placed increased importance on health plans achieving high HEDIS scores. Not only are these scores critically important in attaining favorable Medicare Stars ratings, they are also a core component of fee for value based ACO contracts”
Health Dialog’s HEDIS and Stars support programs address critical quality measure areas, including prevention and screening, respiratory conditions, cardiovascular conditions, diabetes, and musculoskeletal conditions. The HEDIS program also supports health plan efforts to meet CAHPS® Health Plan Survey scores. Both programs consist of three key program components – identification, outreach, and direct coach education support. Health Dialog’s registered nurse Health Coaches specialize in behavior change and provide the decision support and knowledge that enables health plans to address member barriers and improve care while lowering costs.
“Healthcare reform has placed increased importance on health plans achieving high HEDIS scores. Not only are these scores critically important in attaining favorable Medicare Stars ratings, they are also a core component of fee for value based ACO contracts,” said Robert Mandel, MD, Chief Executive Officer, Health Dialog. “Our programs give health plans the edge they need to raise scores and achieve the triple aim that’s critical in today’s health care environment – increasing access, improving clinical outcomes, and saving money.”
Health Dialog’s HEDIS and Stars support programs have historically seen robust results. In 2012, a health plan that used Health Dialog’s HEDIS program to close diabetes care gaps saw a 7.3% increase in HbA1C tests, 6.9% increase in Lipid tests and 4.9% increase in Microalbumin tests. In addition, a regional Medicare Advantage plan using Health Dialog’s Stars program achieved demonstrably higher results - 25% of women targeted for osteoporosis management closed care gaps, and 15% of habitually non-adherent women obtained a breast cancer screening.
Mandel concluded, “The key to any successful HEDIS or Stars support program is analyzing the data that will shed light on the issues health plans are facing, as well as the potential improvement opportunities. Our integrated approach of combining proprietary population analytics, customized engagement through multichannel communications, and whole person coaching and knowledge transfer, allows health plans to implement effective strategies that lead to improved healthcare quality and reduction in medical costs – thereby best positioning them to increasing their HEDIS and Stars scores.”
About Health Dialog Services Corporation:
Health Dialog Services Corporation is a leading provider of healthcare analytics and decision support. The firm is a private, wholly-owned subsidiary of Bupa, a global provider of healthcare services. Health Dialog helps health plans, employers and physician groups improve healthcare quality while reducing overall costs. Company offerings include health coaching for medical decisions, chronic conditions, and wellness; population analytic solutions; and consulting services. Health Dialog helps individuals participate in their own healthcare decisions, develop more effective relationships with their physicians, and live longer, healthier, happier lives. For more information, visit www.healthdialog.com.