Health Plan Guide
5 Barriers to Excellence in Quality Improvement and How to Solve Them
Discover how to tackle quality performance barriers and drive superior health plan performance.
In the evolving landscape of value-based care, achieving quality improvement excellence is more complex than ever. Health plans must navigate data silos, inefficient workflows, and manual processes—all while improving HEDIS scores, STAR ratings, and patient outcomes.
This comprehensive guide reveals the most common obstacles holding health plans back and provides actionable solutions to help you drive performance, reduce provider abrasion, and achieve operational success.
What you'll learn:
- Efficient data ingestion and routing: Strategies for processing 96,000 pages per hour and routing 85% of charts without manual intervention.
- Making sense of unstructured data: How natural language processing (NLP) helps turn complex medical records into actionable insights—faster and more efficiently.
- Simplifying clinical data abstraction: Leverage AI to pinpoint relevant clinical information, speeding up reviews and improving accuracy.
- Provider-friendly outreach: Proven strategies to reduce provider disruptions and improve chart retrieval rates.
- Year-round quality monitoring: How ongoing quality workflows can replace reactive, end-of-year reporting with proactive care management.
Access the Guide