Is improving Quality Scores and Provider Contracting on your list of things to do this year?
Payers that make access to information easy for their providers by consolidating patient information, HEDIS objectives, and provider reimbursement schedules in a single location consistently report improved compliance, enhanced provider retention, and superior patient outcomes.
Good ideas and top-down strategy only go so far. Ultimately, success requires buy-in from all levels. And the easier you make buy-in, the more of it you’ll get.
Maximizing provider relationships is a fundamental business function for a payer. In order to grow, you must create and maintain positive working relationships with your provider communities. You must find a way to centralize and isolate provider information so that common information can be updated through a uniform source.
The Healthx Provider Portal delivers a unified solution that gives providers holistic perspective into patient information, both through the lens of providers’ perspectives, but also through the lens of your HEDIS objectives. Providers can quickly review eligibility, reminders, and reimbursement data related to members. They can also communicate directly with members, on their own or via payer systems, to encourage healthy choices that align with your objectives.
What about your business?
Are your providers making the most of your portal solution?
How would improved data integration and greater visibility into your system benefit the company as a whole?
How would improved provider awareness of HEDIS objectives translate to improved NCQA ratings for you?