Advance clinical quality and accreditation

Meet rising clinical quality standards and accreditation requirements. Give leaders the tools to evaluate programs, improve outcomes, and demonstrate compliance—all while putting the member experience first.

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Align care and quality

Connect every measure to see the whole picture

Unify all your clinical quality data in one place. From HEDIS and Stars measures to regulatory reporting, patient-reported outcomes, and provider performance. Our AI-enabled dashboards bring together touchpoints across care settings, so you can see how outcomes are impacted across your system.

Turn insights into action with confidence

Move beyond manual chart review and fragmented reporting. Use advanced analytics, predictive models, and automated alerts to surface the true drivers behind gaps in care and quality shortfalls. Combined with our deep regulatory experience, you’ll know exactly where to focus to improve performance.

Partnering to deliver better outcomes

With decades of experience supporting health plans and providers, our experts stand behind you as partners for measurable progress. We tailor solutions to your goals and embed best practices that strengthen outcomes. Together, we help you build a high-reliability quality program that delivers better care and sustained improvement.

Elevate quality and experience

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A health plan suite, built on insights and action

Member Journey

Capture member feedback in the moments that matter, and get real-time insights into how to fix pain points, deliver seamless, personalized experiences, and close the loop quickly.

Net promoter score

Get a reliable view of member loyalty to measure, analyze, and improve loyalty and experience in one program.

Medicare CAHPS

Ensure regulatory compliance—from sample validation to survey administration and reporting—while unlocking insights that directly impact member experience.

Health Outcomes Survey

Capture Medicare Advantage members’ reports of their physical and mental health over time.

Stars Monitor

Understand the complexity of Stars math and the results of CMS changes.

Predictive analytics

See beyond survey results and model satisfaction, disenrollment risk, and key CAHPS measures at the member level.

Provider verification

Take the pressure off your team with a proven, audit-ready process that ensures accuracy, supports accreditation, and improves provider directory data at scale.

Behavioral Health (OPMH)

Get actionable insights into outpatient mental health and substance-use services, including telehealth—so you can close gaps, strengthen access, and drive meaningful outcomes.

Case management

Capture direct member feedback and get insights into communication, helpfulness, access, and health outcomes.

Your partner for a stronger clinical quality strategy

Our experts partner with health plans to design and optimize quality programs that meet accreditation standards and improve outcomes.

  • Accreditation readiness and audit support 
  • Quality improvement action planning 
  • Program performance analysis and member journey mapping 
  • Equity-focused improvement strategies 

Partnering for better outcomes

Strengthen quality programs, demonstrate compliance, and achieve lasting improvement.
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