PAYERONE QUALITY

Boost your HEDIS® and STAR rating

Identify trends, pinpoint areas of improvement and implement targeted interventions to drive tangible results

Transform quality goals into results and outshine your competition

Quality measures are more than just benchmarks — they’re the key to member satisfaction, regulatory compliance, and financial success. Enhance your quality performance and set the standard for excellence in the industry.

Payer Quality Highlights

PayerOne Quality Highlights

Explore the key features designed to help Health Plans deliver exceptional performance

Future-proof Quality

Invest in advanced digital quality data streams to stay ahead in the evolving HEDIS® landscape

One Source of Truth

Bring the full set of quality initiatives together into a single, comprehensive source of truth for all

Boost PI Efforts

Engage providers and care teams to drive performance improvement (PI) initiatives at point-of-care

No More Chart Chase

End the cycle of chart chasing by gaining year-round access to validated, real-time data

Report and Submit

Use an integrated solution for year-round data collection, reporting and submissions

NCQA-Certified

Leverage a NCQA-certified vendor for timely, accurate and secure HEDIS® submissions

Powered by Cozeva, a secure cloud-platform designed to drive provider engagement and organizational performance

Robust solutions designed to minimize risk and drive performance across your organization

Unified Experience

Exchange bi-directional data and merge views across tenancies to establish a unified experience across your POs, practices, providers and care teams

Artificial Intelligence

Analyze billions of data points using AI to predict member engagement, identify complex patients, stratify risk, prevent high-cost events, measure ROI and more

Advanced Analytics

Leverage AI and predictive analytics to deep dive into cost, utilization, quality and risk performance, and disparities across 200+ preconfigured analytic workbooks

EHR Integration

Seamlessly integrate with desktop and web-based EHRs to surface care gaps in provider workflows for closure, accurate coding and collection of clinical data

360 Patient View

Gain insights into member needs, preferences and behaviors by bringing together data from multiple sources – claims, EHRs, SDoH, engagement and more

Population Health

Identify opportunities, drive end-to-end performance improvement workflows and coordinate care with an intuitive and flexible interface designed for diverse teams

Real-time Gap Closure

Take action and mark gaps as pending, enter supplemental data and confirm or disconfirm HCCs within clinical workflows to drive provider engagement and build trust

Care Team Well-Being

Leverage AI, automation and pre-built tools and templates to up-level your teams, reduce admin burden, and improve provider and care team well-being

And more

While these are our more commonly talked about features, there's more to explore — experience the full potential of our platform by scheduling a demo!

Demonstrated success from coast to coast