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QUALITY IMPROVEMENT

On-demand webinar: Staying active during a shorter HEDIS off-season

If there’s anything that we learned in 2020 and 2021, it’s the importance of being proactive. We understand better than ever that healthcare is dynamic, and our approach can’t be static if we’re going to succeed. We need to prepare to learn, plan, and actively adapt to be resilient. As we reflect on the peaks and valleys of the past HEDIS® season and look at what’s to come for MY2021, being proactive is the number one best practice from our most successful plans.

Aligning on changes to the HEDIS calendar

Historically, HEDIS measures were released months after the start of data collection. At that point, half of the year was over before plans were sure of what information would need to be reported on. With so many annual exams traditionally taking place early in the year, opportunities to engage members to close gaps in care were missed with this schedule.

All plans will now have a chance to assess changes and proactively adapt strategies with the HEDIS calendar released by NCQA last year.

Summary of changes to NCQA timeline for HEDIS MY2021 and beyond

Source: National Committee for Quality Assurance (NCQA)

Actively planning in the off-season

Updates to key dates mean that plans now receive measures 11 months earlier, providing extra time to investigate and close gaps in care. With vendor certifications set to be approved in October, rather than the usual February, the shorter off-season means health plans have a surplus of time to actively plan and begin their HEDIS projects well in advance of the June submission date. This schedule also allows for Cotiviti clients onboarding in MY2021 to our new user application, Quality Reporter Web (QR Web), to budget appropriate time to take the extensive available trainings and practice in their demo environment.

A year unlike any other: MY2020 HEDIS season wrap-up

Watch our on-demand webinar to reflect on the past HEDIS season, look at what’s to come for next season (including a deep dive into the new schedule, measure updates, and a sneak peek at future initiatives), and participate in a discussion surrounding best practices for QR Web onboarding.

Watch the webinar

HEDIS® is a registered trademark of the National Committee for Quality Assurance.

WRITTEN BY

Branka Sustic
Branka Sustic has led the data operations team for Cotiviti’s Quality Intelligence client base since 2016. She has over 18 years of industry experience working with health plans, third-party administrators, self-funded employers, reinsurance companies, and brokers.

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